Individual provider Active NPI

Ahmed Elsayed, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1841853470
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
317583 Issued in NY
Practice address
348 86TH St
Brooklyn, NY 11209-5002
Phone
(347) 938-7654
NPI assigned
Apr 18, 2019
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 317583 NY Primary
Hospitalist Physician 208M00000X 036163467 IL

Addresses

Primary practice location

348 86TH St
Brooklyn, NY 11209-5002

Mailing address

448 99TH St
Brooklyn, NY 11209-8106
Phone (347) 938-7654

Other practice location 1

3333 W DeYoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Other practice location 2

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-7762

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahmed.elsayed.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200818003228 CA Practitioner - Family Practice 1951727114
I20230203001221 NY Practitioner - Family Practice 1951727114 Reassigns benefits to 1 organization
I20230321000814 IL Practitioner - Family PracticePractitioner - Hospitalist 1951727114 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians
Empire Medical of Brooklyn PCGroup PAC ID 6901278704, 2 clinicians

Practice addresses (Care Compare)

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

348 86TH St
Brooklyn, NY 11209-5002
Phone (347) 560-6040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317583NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC CurrentSince Apr 1, 2023 Accepting new patients
J M Geiss DO Apc Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Wabash General Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Feb 23, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Mar 6, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Feb 23, 2023 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Mar 6, 2023 Accepting new patients
Iroquois Memorial Hospital and Resident Home Current Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine Current Accepting new patients
Wabash General Hospital District Past Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aelsayed@yourcarecommunity.org
  • Direct secure messaging: aelsayed72779@sih.direct-ci.com
  • Direct secure messaging: ahmed.elsayed.1@15486.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAADD/Endpoint/EIAADD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1841853470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 99TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098106",
            "telephone_number": "347-938-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095002",
            "telephone_number": "347-938-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W DeYoung St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595884",
            "country_code": "US",
            "telephone_number": "618-998-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-7762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "317583",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036163467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmed.elsayed.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.