AHMED ABD ELAZIM
NPI 1285157065
Psychiatry & Neurology - Neurology in Sioux Falls, SD

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104(605) 312-8500 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Dec 18, 2019, Jun 3, 2019 and 1 more (4 updates tracked since 2017).

About Ahmed Abd Elazim NPPES

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

AHMED ABD ELAZIM (NPI 1285157065) is an individual neurology provider in Sioux Falls, South Dakota, licensed in South Dakota (14517) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285157065
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameAHMED ABD ELAZIM
Location Address1210 W 18TH ST STE 100Sioux Falls, SD 57104-4650
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 24, 2017
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1285157065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in SD · 14517
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2019-0357 (NM)
1210 W 18TH ST STE 100, Sioux Falls, SD 57104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ahmed Abd Elazim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789911066
PECOS Enrollment IDI20230824000428
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
238 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
119 services117 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Physician Assistant
1210 W 18TH ST STE 100, VAN DEMARK BUILDING
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Vascular Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104

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 Abd Elazim's NPI number?

The NPI number for Ahmed Abd Elazim is 1285157065. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Ahmed Abd Elazim located?

Ahmed Abd Elazim practices at 1210 W 18th St Ste 100, Sioux Falls, SD 57104. The listed phone number is (605) 312-8500.

What is Ahmed Abd Elazim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ahmed Abd Elazim enrolled in Medicare?

Yes. Ahmed Abd Elazim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ahmed Abd Elazim accept?

Health plans from Medica and Security Health Plan list Ahmed Abd Elazim 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.

Is Ahmed Abd Elazim affiliated with any hospitals?

According to CMS data, Ahmed Abd Elazim is affiliated with Orange City Area Health System, Sanford Worthington Medical Center, Windom Area Health, Sanford Usd Medical Center and Sanford Medical Center Aberdeen.

When was this NPI record last updated?

The NPPES record for Ahmed Abd Elazim was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.