DR. MOHAMED H. EL-GASIM MD
NPI 1609025642
Pediatrics - Adolescent Medicine in San Luis, AZ

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
1896 E BABBIT LN, SAN LUIS, AZ 85336(928) 722-6112 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohamed H. El-gasim Md NPPES

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

DR. MOHAMED H. EL-GASIM MD (NPI 1609025642) is an individual adolescent medicine provider in San Luis, Arizona, licensed in Arizona (36344) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1609025642
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MOHAMED H. EL-GASIMCredential: MD
Location Address1896 E BABBIT LNSan Luis, AZ 85336-7820
Mailing AddressPo Box 617Somerton, AZ 85350-0617 · (928) 662-0406
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 15, 2008
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1609025642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in AZ · 36344
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 36344 (AZ)
1896 E BABBIT LN, San Luis, AZ 85336

Secondary Practice Location 1

Location 17720 N 16th St, Ste 425Phoenix, AZ 85020-4429 · Phone (602) 476-0800 · Fax (602) 476-0801

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

Dr. Mohamed H. El-gasim 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 ID8921167958
PECOS Enrollment IDI20081106000096
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 Reassignments

2

Medicare enrollment records show Mohamed El-gasim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
1896 E BABBIT LN
San Luis, AZ 85336
  • Reassigned Medicare billing, Arizona enrollment
  • 89 clinicians in this Medicare group
Multi-Specialty
1130 E MAIN ST
Somerton, AZ 85350
  • Reassigned Medicare billing, Arizona enrollment
  • 22 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
1896 E BABBIT LN
SAN LUIS, AZ 85336
Pharmacy
1896 E BABBIT LN
SAN LUIS, AZ 85336
Pediatrics
1896 E BABBIT LN
SAN LUIS, AZ 85336
Pediatrics
1896 E BABBIT LN
SAN LUIS, AZ 85336
Nurse Practitioner (Family)
1896 E BABBIT LN
SAN LUIS, AZ 85336
Clinic/Center (Rural Health)
1896 E BABBIT LN
SAN LUIS, AZ 85336
Behavior Analyst
1896 E BABBIT LN
SAN LUIS, AZ 85336

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 Mohamed El-gasim's NPI number?

The NPI number for Mohamed El-gasim is 1609025642. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Mohamed El-gasim located?

Mohamed El-gasim practices at 1896 E Babbit Ln, San Luis, AZ 85336. The listed phone number is (928) 722-6112.

What is Mohamed El-gasim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mohamed El-gasim enrolled in Medicare?

Yes. Mohamed El-gasim 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 Mohamed El-gasim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed El-gasim reassigns Medicare benefits to 2 organizations: San Luis Walk-In Clinic, Inc. (San Luis, AZ) and Regional Center For Border Health, Inc (Somerton, AZ). 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 Mohamed El-gasim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed El-gasim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Mohamed El-gasim 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 Mohamed El-gasim was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.