Active NPI
Abubaker Khalafalla Mohamed Elemam, MBBS
- Student in an Organized Health Care Education/Training Program
- Seattle, WA
National Provider Identifier
1568049245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-2059 - Phone
- (206) 598-2094
- Fax
- (206) 543-6317
- NPI assigned
- Mar 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-2059
Mailing address
1959 NE Pacific Street Box 357115
Seattle, WA 98195-0001
Phone (206) 598-2094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220612000050 | WA | Order and Referring Only - Diagnostic Radiology | 4486032927 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1568049245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC STREET BOX 357115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-2094",
"fax_number": "206-543-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981952059",
"telephone_number": "206-598-2094",
"fax_number": "206-543-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELEMAM",
"first_name": "ABUBAKER",
"middle_name": "KHALAFALLA MOHAMED",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-27",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Joshua Paul Eldridge, D.C.
- Dianne Castro Eleccion
- Electrodiagnostic Medicine & Rehabilitation Physicians PLLC
- Elmer S. Elegado, MSW
- Teshome Bekele Elema, CN
- Element Sports Performance
- Elements Chiropractic & Wellness Center Inc PS
- Allan Elenbaas, RN,CNOR,CRNFA
- Dumbe E. Elessa
- Elevate Integrative Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.