Ahmed Sameh Aboul-Magd, M.D.

Key facts

NPI

1861406258

Entity type

Individual (NPI type 1)

Primary specialty

Nephrology Physician 207RN0300X

License

113795 (MO)

Practice address

522 W 32ND St Ste 1
Joplin, MO 64804-2533

Phone

(417) 782-5000

Fax

(417) 782-2945

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahmed Aboul-Magd PC Nephrology Physician · Joplin, MO · NPI 1588678916
  Medicare reassignment Care Compare group NPD Authorized official KS · MO · NEPHROLOGY · OK

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Four State Regional Dialysis Center, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Joplin, MO · NPI 1407958697
  Care Compare affiliation Name & address match Dialysis facility
• Fort Scott Regional Dialysis Center, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pittsburg, KS · NPI 1326051772
  Care Compare affiliation Name & address match Dialysis facility
• Freeman-Oak Hill Health System End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Webb City, MO · NPI 1114394228
  Care Compare affiliation Hospital
• Freeman-Oak Hill Health System General Acute Care Hospital · Joplin, MO · NPI 1265546048
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nephrology
Also: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ahmed Aboul-Magd PC (5 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Joplin East Dialysis facility · Joplin, MO · CCN 262548
• FMC - Pittsburg Midwest Dialysis facility · Pittsburg, KS · CCN 172507
• Freeman Health System - Freeman West Hospital · Joplin, MO · CCN 260137

Merit-based Incentive Payment System (MIPS)

Final score

59.86 of 100 (group)

Quality

72.74

Improvement activities

0

Cost

80.3

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in MO, OK, KS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aaboulmagd22206@direct.acumenmd.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2022.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1861406258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W 32ND ST STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042533",
            "telephone_number": "417-782-5000",
            "fax_number": "417-782-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W 32ND ST STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042533",
            "telephone_number": "417-782-5000",
            "fax_number": "417-782-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUL-MAGD",
        "first_name": "AHMED",
        "middle_name": "SAMEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-30664",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "113795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050604077001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264410C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039110A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203842620",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000104082",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "184825",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

• Ehab Abdallah Embaby Abdelgyed, M.B.B.CH
• Leith Abdeljaber
• Ahmad Abdin, M.D.
• Riley Abernathy
• Able Body Chiropractic, PC
• Nadine Aboul-Magd, M.D.
• Cassidi Jo Abts, C-SLPA
• Fayzeh Abu-Rumaileh
• Rilinda Hilario Acain, OTR
• Shylo Achtenberg

All providers in Joplin, MO · Nephrology Physician in Missouri