Individual provider Active NPI

Ahmad El Alayli, M.D.

  • Internal Medicine Physician
  • Roswell, NM
National Provider Identifier
1679060099
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2021-0301 Issued in NM
Practice address
400 Military Heights PL
Roswell, NM 88201-6407
Phone
(575) 627-9500
Fax
(575) 627-9535
NPI assigned
Apr 20, 2018
Reactivated
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD2021-0301 NM Primary

Addresses

Primary practice location

400 Military Heights PL
Roswell, NM 88201-6407

Mailing address

6071 West Outer Drive
Detroit, MI 48235

Other practice location 1

6071 West Outer Drive
Detroit, MI 48235
Phone (313) 966-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210607002208 NM Practitioner - Internal Medicine 4587064928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Masoud Khorsand- Sahbaie MD P aGroup PAC ID 8729068911, 19 clinicians

Practice addresses (Care Compare)

400 Military Heights PL
Roswell, NM 88201-6407
Phone (575) 627-9500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Roswell, NM, CCN 327185
  • Excelacare Home Health Home health agency, Roswell, NM, CCN 327218
  • Sentry Home Health Care LLC Home health agency, Roswell, NM, CCN 327808
  • Frontier Medical Home Care, Inc. Home health agency, Roswell, NM, CCN 327181
  • Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Masoud Khorsand-Sahbaie, MD PA Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Masoud Khorsand- Sahbaie MD P a CurrentSince Jul 1, 2021 Accepting new patients

Locations

101 S Canal St
Carlsbad, NM 88220
Phone (575) 234-0500

3028 N Grimes St
Hobbs, NM 88240
Phone (575) 392-0222

407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110

400 Military Heights Pl
Roswell, NM 88201
Phone (575) 627-9110

Interoperability endpoints

  • Direct secure messaging: ahmad.elalayli.p1@direct.kymeramedical.nextgenshare.com

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.

Hospital & facility affiliations 7

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1679060099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 WEST OUTER DRIVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILITARY HEIGHTS PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016407",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 West Outer Drive",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48235",
            "country_code": "US",
            "telephone_number": "313-966-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL ALAYLI",
        "first_name": "AHMAD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "deactivation_date": "2018-11-28",
        "reactivation_date": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2021-0301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.