Ahmed Fekry Al-Sadek, M.D.
Individual provider Active NPI Internal Medicine Physician · Fountain Valley, CA
NPI 1528097730 · NPPES record last updated Jul 27, 2017
Key facts
- NPI
- 1528097730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A93004 (CA)
- Practice address
- 17050 Bushard St
Ste 205
Fountain Valley, CA 92708-2832 - Phone
- (310) 692-0224
- Fax
- (714) 368-3381
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17050 Bushard St
Suite 205
Fountain Valley, CA 92708-2832
Phone (657) 223-7867
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20060206000644 | CA | Practitioner - Internal Medicine | 2769496124 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93004 | CA | MD | Internal Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmed Alsadek, MD Inc. | Internal Medicine | Current |
Accepting new patients |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Central Coast in-Patient Consultants, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
17050 Bushard St
Ste 205
Fountain Vly, CA 92708
Phone (657) 223-7867
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A93004 | CA | Yes |
Addresses
Primary practice location
17050 Bushard St
Ste 205
Fountain Valley, CA 92708-2832
Mailing address
PO Box 8349
Fountain Valley, CA 92728-8349
Phone (805) 773-6811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A930040 | Medicaid | CA |
Other providers in Fountain Valley, CA
- Kimberly Akamine
- Lori Akasaka
- Shiva Akhavan
- Maria Akhnoukh
- Deema Omar Al-Omar
- Dana Mohanned Al-Sayyed
- Alan Dang MD
- Alan Ho, MD, PC
- Alan T. Tran M.D., Inc
- Alan Tran MD Inc
All providers in Fountain Valley, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2017. 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.