Individual provider Active NPI

Kamel Elzawahry, MD

  • Neurology Physician
  • Panama City, FL
National Provider Identifier
1659331767
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME36616 Issued in FL
Practice address
2202 State Ave Ste 201
Panama City, FL 32405-4582
Phone
(850) 785-0029
Fax
(850) 785-7600
NPI assigned
Mar 23, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X MR36616 FL
Neurology Physician 2084N0400X ME36616 FL Primary

Addresses

Primary practice location

2202 State Ave Ste 201
Panama City, FL 32405-4582

Mailing address

2202 State Ave
Suite 201
Panama City, FL 32405-7601
Phone (850) 785-0029

Other practice location 1

2202 State Ave Ste 101
Panama City, FL 32405-4539
Phone (850) 785-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110105000577 FL Practitioner - Neurology 1658560776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine LLCGroup PAC ID 3779566013, 7 clinicians

Practice addresses (Care Compare)

2202 State Ave
Suite 201
Panama City, FL 32405-4582
Phone (850) 785-0029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
91.75
Promoting interoperability
98
Improvement activities
40
Cost
73.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MR36616FLMDNeuromusculoskeletal Medicine & OMM Physician
ME36616FLMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: kamelelzawahry@brainspine.allscriptsdirect.net

Organizations & group practices 1

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1659331767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-785-0029",
            "fax_number": "850-785-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054582",
            "telephone_number": "850-785-0029",
            "fax_number": "850-785-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 State Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054539",
            "country_code": "US",
            "telephone_number": "850-785-0029",
            "fax_number": "850-785-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELZAWAHRY",
        "first_name": "KAMEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "MR36616",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME36616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.