Individual provider Active NPI

Ahmed Abdel-Gawad, MD

  • Pediatrics Physician
  • Cambridge, MD
National Provider Identifier
1790747996
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D50279 Issued in 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
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D50279 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151215002372 MD Practitioner - Pediatric Medicine 0547561680 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D50279MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Apr 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. Pediatrics CurrentSince Feb 16, 2019 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 16, 2019 Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Jul 15, 2021 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

  • Direct secure messaging: aabdelgawad155910@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1790747996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BYRN ST SUITE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132076",
            "telephone_number": "410-228-6161",
            "fax_number": "410-228-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BYRN ST SUITE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132076",
            "telephone_number": "410-228-6161",
            "fax_number": "410-228-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-GAWAD",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D50279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.