NPIMap

Individual provider Active NPI

Ahmed Ie Badr, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1508818253
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A46393 Issued in CA
Practice address
3055 W Orange Ave
Ste 103
Anaheim, CA 92804-3152
Phone
(714) 995-2901
Fax
(714) 995-5474
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A46393 CA
Pulmonary Disease Physician 207RP1001X A46393 CA
Internal Medicine Physician 207R00000X A46393 CA Primary

Addresses

Primary practice location

3055 W Orange Ave
Ste 103
Anaheim, CA 92804-3152

Mailing address

PO Box 2396
Anaheim, CA 92814-0396
Phone (714) 995-2901

Other identifiers 2

IdentifierTypeStateIssuer
P00294848OtherCARAILROAD
00A463930MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000408 CA Practitioner - Pulmonary Disease 9638153950 Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3055 W Orange Ave
Suite 103
Anaheim, CA 92804-3152
Phone (714) 995-2901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46393CAMDPeriodontist
A46393CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Group Inc Past Accepting new patients
Anaheim Health Medical Group Pulmonary Disease Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508818253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2396",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928140396",
            "telephone_number": "714-995-2901",
            "fax_number": "714-995-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE",
            "address_2": "STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043152",
            "telephone_number": "714-995-2901",
            "fax_number": "714-995-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADR",
        "first_name": "AHMED",
        "middle_name": "IE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A46393",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A46393",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00294848",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A463930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.