AHMED G. MAMI M.D.
NPI 1114034352
Surgery - Pediatric Surgery in Springfield, IL

Active since August 24, 2006PECOS Enrolled
400 N 9TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-0400 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Feb 19, 2020, Jan 16, 2020 (3 updates tracked since 2020).

About Ahmed G. Mami M.d. NPPES

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

AHMED G. MAMI M.D. (NPI 1114034352) is an individual pediatric surgery provider in Springfield, Illinois, licensed in New Jersey (25MA08715500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eatontown.

NPPES Registry Identity

NPI1114034352
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameAHMED G. MAMICredential: M.D.
Location Address400 N 9TH STSpringfield, IL 62702-5310
Mailing AddressPo Box 416925Boston, MA 02241-6925 · (732) 751-3656 · Fax (732) 643-4406
Fax(217) 545-0400
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1114034352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in NJ · 25MA08715500
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
400 N 9TH ST, Springfield, IL 62702

Secondary Practice Location 1

Location 1615 Hope Rd, Victoria Plaza, Suite 1-AEatontown, NJ 07724-1277 · Phone (732) 935-0407 · Fax (732) 935-0757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ahmed G. Mami 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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
400 N 9TH ST
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST
SPRINGFIELD, IL 62702
Surgery (Pediatric Surgery)
400 N 9TH ST
SPRINGFIELD, IL 62702
Pediatrics (Pediatric Gastroenterology)
400 N 9TH ST
SPRINGFIELD, IL 62702
Nurse Practitioner
400 N 9TH ST, 2ND FLOOR, CLINIC 2A
SPRINGFIELD, IL 62702
Registered Nurse (Lactation Consultant)
400 N 9TH ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
400 N 9TH ST
SPRINGFIELD, IL 62702
Social Worker (Clinical)
400 N 9TH ST
SPRINGFIELD, IL 62702

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 Ahmed Mami's NPI number?

The NPI number for Ahmed Mami is 1114034352. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Ahmed Mami located?

Ahmed Mami practices at 400 N 9th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Ahmed Mami's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Ahmed Mami enrolled in Medicare?

Yes. Ahmed Mami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ahmed Mami was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.