DR. AHMED ELDESSOUKY MD
NPI 1528629946
Pediatrics in Jackson, MI

Q: What is Ahmed Eldessouky's NPI number?

The NPI number for Ahmed Eldessouky is 1528629946. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Ahmed Eldessouky's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ahmed Eldessouky was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 26, 2019PECOS Enrolled

505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Ahmed Eldessouky Md NPPES

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

DR. AHMED ELDESSOUKY MD (NPI 1528629946) is an individual pediatrics provider in Jackson, Michigan, licensed in Michigan (4301507856) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1528629946

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. AHMED ELDESSOUKYCredential: MD

Location Address505 N JACKSON STJackson, MI 49201-1266

Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500

Phone(517) 748-5500

Sole ProprietorNo

Enumeration DateJune 26, 2019

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1528629946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301507856

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.

505 N JACKSON ST, Jackson, MI 49201

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Secondary Practice Location 1

Location 160005 Campground Rd Ste 100Washington, MI 48094-3446 · Phone (862) 325-3555

Other Identifiers 1

Medicaid4351044319MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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. Ahmed Eldessouky Md 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 Reassignment

Medicare enrollment records show Ahmed Eldessouky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Family Health

Same address

Federally Qualified Health Center (FQHC)

505 N JACKSON ST
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
50 clinicians in this Medicare group

NPI 1780784439 (517) 748-5500

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 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

KAREN LIZETH HERNANDEZ MARTINEZ LLMSW

Social Worker (Clinical)