AHMAD AL DUGHIEM MD
NPI 1538537865
Pediatrics - Pediatric Nephrology in Dayton, OH
About Ahmad Al Dughiem Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHMAD AL DUGHIEM MD (NPI 1538537865) is an individual pediatric nephrology provider in Dayton, Ohio, licensed in Ohio (35.138860) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ahmad Al Dughiem Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ahmad Al Dughiem reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DAYTON, OH 45404
DAYTON, OH 45404
DAYTON, OH 45404
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 Ahmad Al Dughiem's NPI number?
The NPI number for Ahmad Al Dughiem is 1538537865. It was assigned to this individual provider in the NPPES registry on September 3, 2015.
Where is Ahmad Al Dughiem located?
Ahmad Al Dughiem practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.
What is Ahmad Al Dughiem's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Ahmad Al Dughiem enrolled in Medicare?
Yes. Ahmad Al Dughiem 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.
Which organizations bill Medicare for Ahmad Al Dughiem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Al Dughiem reassigns Medicare benefits to 4 organizations: Dayton Children's Specialty Physicians, Inc. (Dayton, OH), University Hospitals Medical Group Inc (Cleveland, OH), Ssm Health Care Group (Saint Louis, MO) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahmad Al Dughiem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ahmad Al Dughiem accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 14 other insurers list Ahmad Al Dughiem 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 Ahmad Al Dughiem was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ahmad Al Dughiem, MD · NPI 1538537865
Pediatric Nephrology physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since September 3, 2015.
## Identity
- **NPI:** 1538537865 (Entity type: Individual)
- **Enumerated:** September 3, 2015
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** 35.138860 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PLZ, Dayton, OH 45404-1815
- **Phone:** (937) 641-4000 · **Fax:** (937) 641-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Children's Physician Services Of South Texas (NPI 1568658227, Corpus Christi, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 0410493 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1538537865) · Data from the CMS NPPES public registry.