Active NPI
Ahmed Mostafa Jlasi, MD
- Nephrology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD493484
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-4600
- NPI assigned
- May 18, 2018
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.071800 | IL | |
| Internal Medicine Physician | 207R00000X | 01086260A | IN | |
| Nephrology Physician | 207RN0300X | MD493484 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Other practice location 1
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (312) 375-4239
Other practice location 2
2625 E 62nd St
Indianapolis, IN 46220-3189
Phone (317) 251-6121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajlasi@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3500 N Broad St
RM 1a
Philadelphia, PA 19140-4106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.071800 | IL | MD | Internal Medicine Physician |
| 01086260A | IN | MD | Internal Medicine Physician |
| MD493484 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Past | Accepting new patients |
Locations
1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
Interoperability endpoints
- ajlasi@direct.iuhealth.org
Organizations & group practices 4
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.
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
dba Temple Faculty Emergency Medicine Associates
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1639651672
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1801386412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-4600"
}
],
"practiceLocations": [
{
"address_1": "1500 S Fairfield Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081782",
"country_code": "US",
"telephone_number": "312-375-4239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2625 E 62nd St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462203189",
"country_code": "US",
"telephone_number": "317-251-6121",
"fax_number": "317-257-0390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JLASI",
"first_name": "AHMED",
"middle_name": "MOSTAFA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-18",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.071800",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01086260A",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD493484",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajlasi@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2625 E 62nd St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462203189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.