Ahmed Gamal Aboul-Nasr, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Tucson, AZ
NPI 1457934879 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1457934879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- R78548 (AZ)
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 626-6830
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Specialist of Arizona, LLP
Practice addresses (Care Compare)
424 S 56TH St
Suite 120
Phoenix, AZ 85034-2177
Phone (602) 685-5211
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904004962 | NC | Order and Referring Only - Pathology |
8729480280 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R78548 | AZ | Yes |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-6830
Other providers in Tucson, AZ
- Ablekids LLC
- Phoebe Abney
- Sara Abolmolouk
- Sameer C Aboufadel
- Mohammad Rabeia Aboul-Jibin
- Khalid Gamal Aboul-Nasr
- Goitom Haile Abraha
- Cheryl Louise Abraham
- Melvin Abraham
- Ryan Abraham
All providers in Tucson, AZ · Anatomic Pathology & Clinical Pathology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.