Active NPI
Ahmad Fouad Bayomy, MD
- Pediatric Orthopaedic Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 280092
- Practice address
- 3101 SW Sam Jackson Park Rd
Portland, OR 97239-3095 - Phone
- (503) 221-3424
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Pediatric Orthopaedic Surgery Physician
- Portland, OR
- NPI 1134561020
-
- Pediatric Orthopaedic Surgery Physician
- Spokane, WA
- NPI 1205278199
-
- Pediatrics Physician
- Portland, OR
- NPI 1033299458
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Anesthesiology Physician
- Portland, OR
- NPI 1104314350
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPD (past) ORTHOPAEDIC SURGERY
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Washington School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box 8500 Lockbox
Suite 7642
Philadelphia, PA 19178
PO Box 8500 Lockbox
Suite 7642
Philadelphia, PA 19178-7642
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202002843 | OR | Practitioner - Orthopedic Surgery | 5991029571 | Reassigns benefits to 3 organizations |
| I20260527002173 | WA | Practitioner - Orthopedic Surgery | 5991029571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280092 | MA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Shriners Hospitals for Children | Orthopaedic Surgery | Past | Accepting new patients |
Locations
3101 SW Sam Jackson Park Rd
#R
Portland, OR 97239
Phone (503) 241-5090
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 221-3424
Interoperability endpoints
- abayomy159678@direct.ohsu.edu
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 280092 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3101 SW Sam Jackson Park Rd
Portland, OR 97239-3095
Mailing address
3101 SW Sam Jackson Park Rd
Portland, OR 97239-3095
Phone (503) 221-3424
Other practice location 1
516 Carew St
Springfield, MA 01104
Phone (413) 787-2027
Other names 1
NPPES NPI Registry- Dr. Ahmad Fouad Bayomy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2022.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1942575147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393095",
"telephone_number": "503-221-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393095",
"telephone_number": "503-221-3424"
}
],
"practiceLocations": [
{
"address_1": "516 Carew St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "01104",
"country_code": "US",
"telephone_number": "413-787-2027",
"fax_number": "413-787-2054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYOMY",
"first_name": "AHMAD",
"middle_name": "FOUAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "MA",
"license": "280092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AHMAD",
"last_name": "BAYOMY",
"middle_name": "FOUAD",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.