AHMED GALAL ABDELSHAFY PA-C
NPI 1457029795
Physician Assistant in Cheney, WA
NPI Status: Active since September 01, 2021
Contact Information
1720 2ND ST
CHENEY, WA
ZIP 99004
Phone: (509) 444-8200
- Individual
- Male
- Years of Experience 4
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AHMED ABDELSHAFY
This page provides the complete NPI Profile along with additional information for Ahmed Abdelshafy, a primary care provider established in Cheney, Washington with a medical specialization in Physician Assistant and more than 4 years of experience. He graduated from University Of Washington School Of Medicine in 2022. The healthcare provider is registered in the NPI registry with number 1457029795 assigned on September 2021. The practitioner's primary taxonomy code is 363A00000X with license number PA61361157 (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1457029795
- Provider Name
- AHMED GALAL ABDELSHAFY PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1720 2ND ST CHENEY, WA 99004
- Location Phone
- (509) 444-8200
- Mailing Address
- 611 N IRON BRIDGE WAY SPOKANE, WA 99202
- Mailing Phone
- (509) 444-8888
- Medical School Name
- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-01-2021
- Last Update Date
- 10-25-2022
- Code Navigator
A primary care provider (PCP) like Ahmed Abdelshafy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA61361157
- License State
- WA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ahmed Abdelshafy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Ahmed Abdelshafy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8527436187
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221201003087
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.07 for a new patient copayment and $17.82 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 99004 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 5 | 7 | 0 | 2 | 9 | 7 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 10 | 7 | 0 | 2 | 18 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 0 + 7 + 0 + 2 + 1 + 8 + 7 + 1 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1457029795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MARJORIE K HUMPHREY PA-C
Physician Assistant
(Medical)
1720 2ND ST
CHENEY, WA
ZIP 99004
REBECCA JANEL SHAW LMHC
Counselor
(Mental Health)
1720 2ND ST
CHENEY, WA
ZIP 99004
WILLIAM PEDEY DMD
Dentist
1720 2ND ST
CHENEY, WA
ZIP 99004
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Clinic/Center
(Federally Qualified Health Center (FQHC))
1720 2ND ST
CHENEY, WA
ZIP 99004
DR. ANN-MARIE MONSON D.M.D.
Dentist
(Dental Public Health)
1720 2ND ST
CHENEY, WA
ZIP 99004
SAVANNA ROSE BEDDOES DENTAL HYGIENIST
Dental Hygienist
1720 2ND ST
CHENEY, WA
ZIP 99004
ADAM WINCENTY ADAMONIS JR.
Dentist
1720 2ND ST
CHENEY, WA
ZIP 99004
BARBARA E LAYMANCE DENTAL HYGIENIST
Dental Hygienist
1720 2ND ST
CHENEY, WA
ZIP 99004
ANN KRAATZ
Pharmacist
1720 2ND ST
CHENEY, WA
ZIP 99004
AMANDA MURPHY
Pharmacist
1720 2ND ST
CHENEY, WA
ZIP 99004
LEAH SCHUMERTH D.M.D.
Dentist
1720 2ND ST
CHENEY, WA
ZIP 99004
CHAS CHENEY PHARMACY
Pharmacy
(Community/Retail Pharmacy)
1720 2ND ST
CHENEY, WA
ZIP 99004
LINDA JOANN SMITH RN
Registered Nurse
1720 2ND ST
CHENEY, WA
ZIP 99004
MORGAN ANDERSON DDS
Dentist
1720 2ND ST
CHENEY, WA
ZIP 99004
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Clinic/Center
(Federally Qualified Health Center (FQHC))
1720 2ND ST
CHENEY, WA
ZIP 99004
DR. MUNDER OMRAN BEN-OMRAN BDS
Dentist
1720 2ND ST
CHENEY, WA
ZIP 99004
THERESE LOUISE LINDQUIST PHARMD
Pharmacist
1720 2ND ST
CHENEY, WA
ZIP 99004
LANCE MICHAEL MELIN PA-C
Physician Assistant
1720 2ND ST
CHENEY, WA
ZIP 99004
ALYSSA HEMMINGSON RDH
Dental Hygienist
1720 2ND ST
CHENEY, WA
ZIP 99004
JESSICA RUTLAND PA
Physician Assistant
1720 2ND ST
CHENEY, WA
ZIP 99004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457029795, enumerated as an "individual" on September 01, 2021.
The provider is located at 1720 2ND ST CHENEY, WA 99004 and the phone number is (509) 444-8200.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.