Mohamed H. El-Gasim, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

36344 Issued in AZ

Practice address

1896 E Babbit LN
San Luis, AZ 85336-7820

Phone

(928) 722-6112

NPI assigned

Sep 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pediatric Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Walk-in Clinic Inc 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1104228337

  AZ

  Medicare reassignment Care Compare group NPD
• Regional Center for Border Health, Inc

  • Multi-Specialty Clinic/Center
  • Somerton, AZ
  • NPI 1063898260

  AZ

  Medicare reassignment NPD
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  Care Compare group NPD (past)
• San Luis Walk-in Clinic, Inc.

  • Urgent Care Clinic/Center
  • San Luis, AZ
  • NPI 1083229843
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Ambulatory Surgical Clinic/Center
  • San Luis, AZ
  • NPI 1114549987
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Urgent Care Clinic/Center
  • San Luis, AZ
  • NPI 1144680455
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1316552516
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Parker, AZ
  • NPI 1316568595
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1336677426
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1447865654
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1457966657
  Care Compare group
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Parker, AZ
  • NPI 1841838034
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1609025642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 E BABBIT LN",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853367820",
            "telephone_number": "928-722-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 N 16th St",
            "address_2": "Ste 425",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204429",
            "country_code": "US",
            "telephone_number": "602-476-0800",
            "fax_number": "602-476-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-GASIM",
        "first_name": "MOHAMED",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "36344",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "36344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Covington, FNP
• Adylenne De la Torre
• Hector Israel De la Torre, FNP-BC
• Miguel Jr Delgado Jr.
• DME of Yuma LLC
• Richard Nasiru Elelu
• Gabriela Endres
• Ana Gabriela Enriquez Hernandez, BCBA
• Dianna Marie Faidley, R.PH., CDM
• Edith Felix, SLP

• All providers in San Luis, AZ
• Pediatric Adolescent Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.