AHMED ELSIDDIG ABDELRAHIM ELSIDDIG
NPI 1760319560
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Ahmed Elsiddig's NPI number?

The NPI number for Ahmed Elsiddig is 1760319560. It was assigned to this individual provider in the NPPES registry on May 6, 2026.

Q: What is Ahmed Elsiddig's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Elsiddig was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 06, 2026PECOS Enrolled

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-7888 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Ahmed Elsiddig Abdelrahim Elsiddig NPPES

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

AHMED ELSIDDIG ABDELRAHIM ELSIDDIG (NPI 1760319560) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760319560

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAHMED ELSIDDIG ABDELRAHIM ELSIDDIG

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address2172 Fox Hill Dr Apt 10Grand Blanc, MI 48439-5209

Phone(313) 745-7888

Sole ProprietorNo

Enumeration DateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1760319560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Elsiddig Abdelrahim Elsiddig 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.

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.

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology