Organization Active NPI

Ahmed E Elsehety MD, PA

  • Specialist
  • Mesquite, TX
National Provider Identifier
1740465400
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3093 Issued in TX
Legal business name
AHMED E ELSEHETY MD, PA
Practice address
929 N Galloway Ave
102
Mesquite, TX 75149-2476
Phone
(972) 329-8200
Fax
(972) 329-8202
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Ahmed E Elsehety, M.D.
Title
Owner
Phone
(972) 329-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J3093 TX Primary

Addresses

Primary practice location

929 N Galloway Ave
102
Mesquite, TX 75149-2476

Mailing address

929 N Galloway Ave
102
Mesquite, TX 75149-2476
Phone (972) 329-8200

Other identifiers 2

IdentifierTypeStateIssuer
152590901MedicaidTX
2084N0400XOtherTXTAXONOMY

Other names 1

  • Ahmed E Elsehety MD, PA Doing business as

National Provider Directory

National Provider Directory

Locations

910 N Galloway Ave
Ste 3
Mesquite, TX 75149
Phone (972) 329-8200

910 N Galloway Ave
Ste 301
Mesquite, TX 75149
Phone 97232982002409

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1740465400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-329-8200",
            "fax_number": "972-329-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-329-8200",
            "fax_number": "972-329-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED E ELSEHETY MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "ELSEHETY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-329-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152590901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084N0400X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahmed E Elsehety MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.