Ahmed Abdel-Gawad, MD
Individual provider Active NPI Pediatrics Physician · Cambridge, MD
NPI 1790747996 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1790747996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- D50279 (MD)
- Practice address
- 400 Byrn St Suite a
Cambridge, MD 21613-2076 - Phone
- (410) 228-6161
- Fax
- (410) 228-8396
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215002372 | MD | Practitioner - Pediatric Medicine | 0547561680 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D50279 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Pediatrics | Current |
Accepting new patients |
| Comptroller of Maryland Central Payroll Bureau | Current |
Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Adventist Physician Services, Inc. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shore Health System, Inc | Past | Accepting new patients |
Locations
300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940
400 Byrn St
Apt A
Cambridge, MD 21613
Phone (410) 228-6161
821 Fieldcrest Rd
Cambridge, MD 21613
Phone (410) 221-0288
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Interoperability endpoints
- aabdelgawad155910@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D50279 | MD | Yes |
Addresses
Primary practice location
400 Byrn St Suite a
Cambridge, MD 21613-2076
Mailing address
400 Byrn St Suite a
Cambridge, MD 21613-2076
Phone (410) 228-6161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056548200 | Medicaid | MD |
Other providers in Cambridge, MD
- 525 Glenburn Avenue Operations LLC
- 525 Glenburn Avenue Operations LLC
- 525 Glenburn Opco LLC
- A Time to Heal Physical Therapy, LLC
- Shakira Abdulai
- Accurate Optical Co of Cambridge Inc
- Nikki Lee Adams
- Olutoyin Amos Adedapo
- Adventist Healthcare, Inc
All providers in Cambridge, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.