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AHMAD AL DUGHIEM MD
NPI 1538537865
Pediatrics - Pediatric Nephrology in Dayton, OH

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Feb 8, 2023, Dec 14, 2022 and 3 more (6 updates tracked since 2020).

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

NPI1538537865
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameAHMAD AL DUGHIEMCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-4000
Fax(937) 641-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 3, 2015
Last NPPES UpdateNovember 19, 20256 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1538537865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in OH · 35.138860
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License 35.138860 (OH)
Also ListedHospitalistTaxonomy 208M00000X · License 35.138860 (OH)
1 CHILDRENS PLZ, Dayton, OH 45404
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Secondary Practice Locations 3

Location 11644 N Limestone StSpringfield, OH 45503-2652 · Phone (937) 641-4000 · Fax (937) 641-4500
Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 641-4000 · Fax (937) 641-4500
Location 3272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7500

Other Identifiers 1

Medicaid0410493OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID5294086237
PECOS Enrollment IDI20250926004475
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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
DR. RAMAKRISHNA MUTYALA MD
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-4000

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.

What insurance does Ahmad Al Dughiem accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 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 8 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.