Individual provider Active NPI

Yousri E M Gadallah, MD

  • General Practice Physician
  • Lovelock, NV
National Provider Identifier
1841225927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8837 Issued in NV
Practice address
855 6TH Street
Lovelock, NV 89419
Phone
(775) 273-2621
Fax
(775) 273-3213
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8837 NV Primary

Addresses

Primary practice location

855 6TH Street
Lovelock, NV 89419

Mailing address

PO Box 661
Lovelock, NV 89419-0661
Phone (775) 273-2918

Other identifiers 1

IdentifierTypeStateIssuer
2017014MedicaidNV

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
I20110216000487 NY Practitioner - Family PracticePractitioner - Emergency Medicine 9739177007 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8837NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Buffalo Emergency Associates LLP CurrentSince Aug 1, 2014 Accepting new patients
Emcare Physician Providers Inc Past Accepting new patients
Finger Lakes Emergency Physicians Past Accepting new patients

Locations

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841225927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-2918",
            "fax_number": "775-273-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH STREET",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "89419",
            "telephone_number": "775-273-2621",
            "fax_number": "775-273-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADALLAH",
        "first_name": "YOUSRI",
        "middle_name": "E M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "8837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017014",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovelock, NV

Sources for this page

Verify at the official NPI Registry.