Individual provider Active NPI

Ahmed M Bayoumi, M.D.

  • Internal Medicine Physician
  • Warsaw, NY
National Provider Identifier
1750389797
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210742 Issued in NY
Practice address
2261 State Route 19 N
Warsaw, NY 14569-9334
Phone
(585) 786-2290
Fax
(585) 786-2853
NPI assigned
Jul 13, 2005
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210742 NY Primary

Addresses

Primary practice location

2261 State Route 19 N
Warsaw, NY 14569-9334

Mailing address

PO Box 230
Warsaw, NY 14569-0230
Phone (585) 786-2290

Other practice location 1

34 Duncan St
Warsaw, NY 14569-1017
Phone (585) 786-2290

Other identifiers 1

IdentifierTypeStateIssuer
01861238MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070126000077 NY Practitioner - Internal Medicine 4082615588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming CountyGroup PAC ID 9335118967, 40 clinicians

Practice addresses (Care Compare)

34 Duncan St
Warsaw, NY 14569-1017
Phone (585) 786-0200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Internal Medicine CurrentSince Jun 17, 2023 Accepting new patients
Wyoming County Current Accepting new patients
Wyoming County Family Medicine PC Internal Medicine Current Accepting new patients
Wyoming County Current Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jan 16, 2023 Accepting new patients
Wyoming Women's Health Care Past Accepting new patients

Locations

3325 E Main Street Rd
Attica, NY 14011
Phone (585) 591-0800

515 Main St
Olean, NY 14760
Phone (716) 373-2600

34 Duncan St
Warsaw, NY 14569
Phone (585) 786-2290

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

408 N Main St
Warsaw, NY 14569
Phone (585) 786-2090

Organizations & group practices 7

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1750389797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145690230",
            "telephone_number": "585-786-2290",
            "fax_number": "585-786-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 STATE ROUTE 19 N",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145699334",
            "telephone_number": "585-786-2290",
            "fax_number": "585-786-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Duncan St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691017",
            "country_code": "US",
            "telephone_number": "585-786-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYOUMI",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01861238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.