DR. ISSA ELGENDY MD
NPI 1114920030
Pediatrics in Fayetteville, NC

Active since May 24, 2005
1262 OLIVER ST, STE B, FAYETTEVILLE, NC 28304(910) 609-4801(910) 609-5406 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Issa Elgendy Md NPPES

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

DR. ISSA ELGENDY MD (NPI 1114920030) is an individual pediatrics provider in Fayetteville, North Carolina and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1114920030
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ISSA ELGENDYCredential: MD
Location Address1262 OLIVER ST, STE BFayetteville, NC 28304-4449
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 609-6448 · Fax (910) 609-7040
Fax(910) 609-5406
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1114920030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1262 OLIVER ST, Fayetteville, NC 28304

Other Identifiers 2

Medicaid891239JNC
Medicare UPINF88176NC

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pediatrics
1262 OLIVER ST, STE B
FAYETTEVILLE, NC 28304
Pediatrics
1262 OLIVER ST, STE B
FAYETTEVILLE, NC 28304
Pediatrics
1262 OLIVER ST
FAYETTEVILLE, NC 28304

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 Issa Elgendy's NPI number?

The NPI number for Issa Elgendy is 1114920030. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Issa Elgendy located?

Issa Elgendy practices at 1262 Oliver St Ste B, Fayetteville, NC 28304. The listed phone number is (910) 609-4801.

What is Issa Elgendy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Issa Elgendy accept?

Health plans from Anthem Blue Cross and Blue Shield list Issa Elgendy 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 Issa Elgendy was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.