Individual provider Active NPI

Ehab Abdallah Embaby Abdelgyed, M.B.B.CH

  • Endocrinology, Diabetes & Metabolism Physician
  • Joplin, MO
National Provider Identifier
1902467897
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
57.252146 Issued in OH
Practice address
100 Mercy Way Ste 420
Joplin, MO 64804-4524
Phone
(417) 556-3130
Fax
(417) 556-3131
NPI assigned
Jun 22, 2019
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 04-49471 KS
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2023044753 MO
Student in an Organized Health Care Education/Training Program 390200000X 64116 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 57.252146 OH Primary

Addresses

Primary practice location

100 Mercy Way Ste 420
Joplin, MO 64804-4524

Mailing address

100 Mercy Way Ste 420
Joplin, MO 64804-4524
Phone (417) 556-3130

Other practice location 1

198 Four States Dr Ste 2
Galena, KS 66739-4305
Phone (620) 783-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240802003405 MO Practitioner - Internal Medicine 6305173089 Reassigns benefits to 1 organization
I20240823003450 KS Practitioner - Endocrinology 6305173089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
580 Mercy Clinic Joplin Diabetes Bridge
Joplin, MO 64804-4524
Phone (417) 556-8555

198 Four States Dr
Suite B
Galena, KS 66739-4304
Phone (620) 783-1358

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04-49471KSMDEndocrinology, Diabetes & Metabolism Physician
57.252146OHMDEndocrinology, Diabetes & Metabolism Physician
64116NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Jul 22, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

198 Four States Dr
Ste 2
Galena, KS 66739
Phone (417) 782-4701

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 420
Joplin, MO 64804
Phone (417) 556-2278

100 Mercy Way
Ste 580
Joplin, MO 64804
Phone (417) 556-8455

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1902467897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY STE 420",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-3130",
            "fax_number": "417-556-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY STE 420",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-3130",
            "fax_number": "417-556-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Four States Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "KS",
            "postal_code": "667394305",
            "country_code": "US",
            "telephone_number": "620-783-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELGYED",
        "first_name": "EHAB",
        "middle_name": "ABDALLAH EMBABY",
        "name_prefix": "Dr.",
        "credential": "M.B.B.CH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-49471",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2023044753",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "64116",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "57.252146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.