Individual provider Active NPI

Ahmed Mohamed Torky, MD

  • Pediatric Endocrinology Physician
  • Springfield, IL
National Provider Identifier
1891137394
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD043984 Issued in DC
Practice address
301 N 8TH St Ste 3A169
Springfield, IL 62701-1041
Phone
(217) 353-1256
Fax
(217) 545-6978
NPI assigned
Jul 24, 2013
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X MD043984 DC Primary

Addresses

Primary practice location

301 N 8TH St Ste 3A169
Springfield, IL 62701-1041

Mailing address

National Institutes of Health 10 Center Dr Room 1-3330
Bethesda, MD 20892-1103
Phone (301) 827-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190626002788 IL Practitioner - Pediatric Medicine 2769716653 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043984DCMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 15, 2019 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 15, 2019 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

301 N 8th St
Ste 3A169
Springfield, IL 62701
Phone (217) 353-1256

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

400 N 9th St
Fl 4
Springfield, IL 62702

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

Interoperability endpoints

  • Direct secure messaging: ahmedtorky@siusm.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1891137394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH 10 CENTER DR ROOM 1-3330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921103",
            "telephone_number": "301-827-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 8TH ST STE 3A169",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011041",
            "telephone_number": "217-353-1256",
            "fax_number": "217-545-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORKY",
        "first_name": "AHMED",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "DC",
            "license": "MD043984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.