Individual provider Active NPI

Ayman Elkadry, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntington, WV
National Provider Identifier
1861606808
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
23106 Issued in WV
Practice address
1249 15TH St
Suite 3000
Huntington, WV 25701-3661
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 23106 WV Primary
Internal Medicine Physician 207R00000X 23106 WV

Addresses

Primary practice location

1249 15TH St
Suite 3000
Huntington, WV 25701-3661

Mailing address

1249 15TH St
Suite 3000
Huntington, WV 25701-3661
Phone (304) 691-1000

Other identifiers 1

IdentifierTypeStateIssuer
3810013312MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170606000430 MI Practitioner - Endocrinology 1254494396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ann Arbor Urgent Care PCGroup PAC ID 6103826615, 2 clinicians
Alzohaili Medical Consultants MD PCGroup PAC ID 4981516564, 18 clinicians

Practice addresses (Care Compare)

1000 E Stadium Blvd
Ann Arbor, MI 48104-4616
Phone (734) 769-3333

5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 203-5300

5250 Auto Club Dr
Dearborn, MI 48126-4212

5250 Auto Club Dr
Suite 200
Dearborn, MI 48126-2619
Phone (313) 203-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23106WVMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Urgent Care, P.C CurrentSince Feb 12, 2019 Accepting new patients
Alzohaili Medical Consultants MD PC Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2017 Accepting new patients

Locations

1000 E Stadium Blvd
Ann Arbor, MI 48104
Phone (734) 669-6000

1000 E Stadium Blvd
Ste E
Ann Arbor, MI 48104
Phone (734) 769-3333

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

1331 Monroe St
Dearborn, MI 48124
Phone (313) 724-4810

22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300

23420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 203-5300

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

27207 Lahser Rd
Ste 200B
Southfield, MI 48034
Phone (248) 663-1900

27207 Lahser Rd
Southfield, MI 48034
Phone (248) 357-0880

Interoperability endpoints

  • Direct secure messaging: ayman.elkadry@mdec.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1861606808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013661",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013661",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKADRY",
        "first_name": "AYMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "23106",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "23106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013312",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.