Individual provider Active NPI

Amad Walajahi, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1639758303
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
334150 Issued in NY
Practice address
215 E 96TH St Apt 16M
New York, NY 10128-4119
Phone
(501) 380-2217
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-16908 AR
Emergency Medicine Physician 207P00000X 334150 NY Primary

Addresses

Primary practice location

215 E 96TH St Apt 16M
New York, NY 10128-4119

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 380-2217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240109003718 AR Practitioner - Emergency Medicine 5799136297 Reassigns benefits to 1 organization
I20250612000344 NY Practitioner - Emergency Medicine 5799136297 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16908ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients

Locations

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1639758303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-380-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 96TH ST APT 16M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284119",
            "telephone_number": "501-380-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALAJAHI",
        "first_name": "AMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-16908",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "334150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.