Individual provider Active NPI

Mohammad Shafiq Ahmad El-Atoum, M.D

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1871947515
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
326657 Issued in NY
Practice address
100 High St Ste B6
Buffalo, NY 14203-1126
Phone
(716) 859-4211
Fax
(716) 859-4208
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036154974 IL
Internal Medicine Physician 207R00000X 326657 NY Primary

Addresses

Primary practice location

100 High St Ste B6
Buffalo, NY 14203-1126

Mailing address

462 Grider St
Buffalo, NY 14215
Phone (716) 898-4806

Other practice location 1

462 Grider St
Buffalo, NY 14215
Phone (716) 898-4328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY3 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
I20210706002039 IL Practitioner - Infectious Disease 1153668587 Reassigns benefits to 1 organization
I20240320001617 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 1153668587 Reassigns benefits to 2 organizations
I20251015000479 NY Practitioner - Internal Medicine 1153668587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4803

900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036154974ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine CurrentSince Jul 19, 2021 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Kaleida Health CurrentSince Aug 1, 2024 Accepting new patients
Kaleida Health CurrentSince Aug 1, 2024 Accepting new patients
Academic Medicine Services, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

2 Good Samaritan Way
Ste 420
Mount Vernon, IL 62864
Phone (618) 899-4000

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168

100 High St
Ste B6
Buffalo, NY 14203
Phone (716) 859-4211

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

515 Main St
Olean, NY 14760
Phone (716) 373-2600

Organizations & group practices 7

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 12

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1871947515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "716-898-4806",
            "fax_number": "716-898-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST STE B6",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-4211",
            "fax_number": "716-859-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14215",
            "country_code": "US",
            "telephone_number": "716-898-4328",
            "fax_number": "716-898-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-ATOUM",
        "first_name": "MOHAMMAD",
        "middle_name": "SHAFIQ AHMAD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036154974",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "326657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.