Individual provider Active NPI

Tamer Omar El-Mahdy, MD

  • Pediatrics Physician
  • Ames, IA
National Provider Identifier
1871677997
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39539 Issued in IA
Practice address
1215 Duff Ave.
McFarland Clinic, PC
Ames, IA 50010-3014
Phone
(515) 239-4404
Fax
(515) 239-4721
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA07191400 NJ
Hospitalist Physician 208M00000X MA07191400 NJ
Pediatrics Physician 208000000X 39539 IA Primary

Addresses

Primary practice location

1215 Duff Ave.
McFarland Clinic, PC
Ames, IA 50010-3014

Mailing address

16 Hospital Dr
Ste D
York, ME 03909-1041
Phone (515) 239-4404

Other identifiers 3

IdentifierTypeStateIssuer
1857182MedicaidPA
8606901MedicaidNJ
9920005MedicaidMD

Other names 1

  • Tamer Omar Rasheed El-Mahdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180921001436 ME Practitioner - Pediatric Medicine 8325362791 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39539IAMDPediatrics Physician
MA07191400NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Pediatrics CurrentSince Sep 10, 2018 Accepting new patients
Boone County Hospital Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

16 Hospital Dr
Ste D
York, ME 03909
Phone (207) 351-1710

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1871677997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "address_2": "STE D",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091041",
            "telephone_number": "515-239-4404",
            "fax_number": "515-239-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE.",
            "address_2": "MCFARLAND CLINIC, PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4404",
            "fax_number": "515-239-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MAHDY",
        "first_name": "TAMER",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA07191400",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "MA07191400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "39539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857182",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8606901",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9920005",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMER",
            "last_name": "RASHEED EL-MAHDY",
            "middle_name": "OMAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.