Individual provider Active NPI

Abdelrahman Elgallad, MD

  • Anesthesiology Physician
  • Lowville, NY
National Provider Identifier
1497284426
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
288742 Issued in NY
Practice address
7785 N. State Street
Lowville, NY 13367
Phone
(315) 376-5200
Fax
(315) 376-9317
NPI assigned
Jun 4, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 288742 NY Primary

Addresses

Primary practice location

7785 N. State Street
Lowville, NY 13367

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 701-5601

Other names 1

  • Dr. Abdelrahman Mostafa Kamal Abdelrahman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170830002919 NY Practitioner - Anesthesiology 8224301098 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Riverside Associates in Anesthesia PCGroup PAC ID 5193792844, 26 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 722-7264

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288742NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 27, 2025 Accepting new patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince May 27, 2025 Accepting new patients
MVHS Inc CurrentSince May 1, 2024 Accepting new patients
Consultants in Gastroenterology PA Current Accepting new patients
Delphi Physicians Group, PLLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Riverside Associates in Anesthesia PC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Chag Anesthesia PC Anesthesiology CurrentSince May 8, 2024 Accepting new patients
MVHS Inc CurrentSince May 1, 2024 Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2215 Genesee St
Rm 105
Utica, NY 13501

131 Summerplace Dr
West Columbia, SC 29169
Phone (803) 794-4585

Organizations & group practices 10

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 2

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": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497284426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-701-5601",
            "fax_number": "315-701-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N. STATE STREET",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "13367",
            "telephone_number": "315-376-5200",
            "fax_number": "315-376-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGALLAD",
        "first_name": "ABDELRAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "288742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDELRAHMAN",
            "last_name": "ABDELRAHMAN",
            "middle_name": "MOSTAFA KAMAL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.