Individual provider Active NPI

Alaa A El-Gendy, MD, M.SC., FCCP

  • Pulmonary Disease Physician
  • Lehigh Acres, FL
National Provider Identifier
1437186970
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME85931 Issued in FL
Practice address
2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971
Phone
(239) 369-3333
Fax
(239) 369-4837
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 30424 AZ
Pulmonary Disease Physician 207RP1001X MD057737L PA
Pulmonary Disease Physician 207RP1001X 222371-1 NY
Pulmonary Disease Physician 207RP1001X 25MA06121800 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME85931 FL
Pulmonary Disease Physician 207RP1001X ME85931 FL Primary

Addresses

Primary practice location

2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971

Mailing address

PO Box 3445
N Fort Myers, FL 33918-3445
Phone (239) 369-3333

Other practice location 1

14651 Palm Beach Blvd Ste 105
Fort Myers, FL 33905-2331
Phone (239) 369-3333

Other identifiers 2

IdentifierTypeStateIssuer
62720OtherFLBCBS OF FL
266038500MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alaa.el-gendy.1@8796.direct.athenahealth.com
Direct Messaging Address alaa.el-gendy.1@8796.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000788 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3072584192 Reassigns benefits to 1 organization
I20200629002585 IA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3072584192

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Pulmonary Associates IncGroup PAC ID 7911978036, 3 clinicians

Practice addresses (Care Compare)

2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971-1569
Phone (239) 369-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.21
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30424AZMDPulmonary Disease Physician
25MA06121800NJMDPulmonary Disease Physician
222371-1NYMDPulmonary Disease Physician
MD057737LPAMDPulmonary Disease Physician
ME85931FLMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Pulmonary Associates, Inc CurrentSince Jan 1, 2003 Accepting new patients
Lehigh Pulmonary Associates, Inc Pulmonary Disease CurrentSince Aug 15, 2021 Accepting new patients

Locations

14651 Palm Beach Blvd
Fort Myers, FL 33905
Phone (239) 689-5788

14651 Palm Beach Blvd
Ste 105
Fort Myers, FL 33905
Phone (239) 369-3333

2625 Lee Blvd
Lehigh Acres, FL 33971

2625 Lee Blvd
Ste 100
Lehigh Acres, FL 33971
Phone (239) 369-3333

1530 Lee Blvd
Ste 2100
Lehigh Acres, FL 33936
Phone (239) 369-3333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alaa.el-gendy.1@8796.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8796/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1437186970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339183445",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 LEE BLVD",
            "address_2": "SUITE 100",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33971",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 Palm Beach Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339052331",
            "country_code": "US",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-GENDY",
        "first_name": "ALAA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, M.SC., FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "30424",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD057737L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "222371-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA06121800",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME85931",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME85931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "62720",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266038500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alaa.el-gendy.1@8796.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2625 Lee Blvd",
            "address_2": "Suite 100",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alaa.el-gendy.1@8796.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "14651 Palm Beach Blvd Ste 105",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339052331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.