DR. ESSAM F ELSAYED M.D.
NPI 1013998087
Internal Medicine - Nephrology in Mckinney, TX

Q: What is Essam Elsayed's NPI number?

The NPI number for Essam Elsayed is 1013998087. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Essam Elsayed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Essam Elsayed was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2005PECOS Enrolled

5236 W UNIVERSITY DR STE 4200, MCKINNEY, TX 75071(214) 544-9590(214) 544-9595 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Essam F Elsayed M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ESSAM F ELSAYED M.D. (NPI 1013998087) is an individual nephrology provider in Mckinney, Texas, licensed in Texas (N3020) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013998087

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ESSAM F ELSAYEDCredential: M.D.

Location Address5236 W UNIVERSITY DR STE 4200Mckinney, TX 75071-8127

Mailing Address4708 Alliance Blvd Ste 600Plano, TX 75093-5368 · (469) 467-0011 · Fax (469) 467-4923

Phone(214) 544-9590

Fax(214) 544-9595

Sole ProprietorYes

Enumeration DateNovember 8, 2005

Last NPPES UpdateJuly 21, 2022

✔ NPI 1013998087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · N3020

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5236 W UNIVERSITY DR STE 4200, Mckinney, TX 75071

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Essam F Elsayed M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Essam Elsayed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network

13 mi

Family Medicine

5717 LEGACY DR STE 180
Plano, TX 75024

Reassigned Medicare billing, Texas enrollment
3,167 clinicians in this Medicare group

NPI 1124809512 (888) 663-6331

Poppy Drive Inpatient Services PLLC

31 mi

Emergency Medicine

231 S COLLINS RD
Sunnyvale, TX 75182

Reassigned Medicare billing, Texas enrollment
36 clinicians in this Medicare group

NPI 1417379058 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims14 services$61.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMITHA REDDY MD

Internal Medicine (Nephrology)

5236 W UNIVERSITY DR STE 4200
MCKINNEY, TX 75071

Collin County (214) 544-9590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essam Elsayed's NPI number?

The NPI number for Essam Elsayed is 1013998087. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Essam Elsayed located?

Essam Elsayed practices at 5236 W University Dr Ste 4200, Mckinney, TX 75071. The listed phone number is (214) 544-9590.

What is Essam Elsayed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Essam Elsayed enrolled in Medicare?

Yes. Essam Elsayed is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Essam Elsayed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Essam Elsayed reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Plano, TX) and Poppy Drive Inpatient Services PLLC (Sunnyvale, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Essam Elsayed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Essam Elsayed accept?

Health plans from Blue Cross and Blue Shield of Texas list Essam Elsayed as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Essam Elsayed was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.