Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AHMAD WAEL A AL-THUNAIBAT MD
NPI 1891480893
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since April 06, 2023PECOS Enrolled
1432 BROADRICK DRIVE, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, May 19, 2026, Sep 27, 2024 and 1 more (4 updates tracked since 2023).

About Dr. Ahmad Wael A Al-thunaibat Md NPPES

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

DR. AHMAD WAEL A AL-THUNAIBAT MD (NPI 1891480893) is an individual student in an organized health care education/training program in Dalton, Georgia, licensed in Illinois (036180225) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1891480893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AHMAD WAEL A AL-THUNAIBATCredential: MD
Location Address1432 BROADRICK DRIVEDalton, GA 30720
Mailing Address1200 Memorial DrDalton, GA 30720-2529 · (706) 226-8996 · Fax (706) 272-6761
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1891480893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Licenses Licensed in IL · 036180225 Licensed in GA · 15061
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.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 036.180225 (IL)
1432 BROADRICK DRIVE, Dalton, GA 30720

Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-4255

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ahmad Wael A Al-thunaibat 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.

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.

Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Podiatrist
1432 BROADRICK DRIVE, DALTON FOOT AND ANKLE SURGERY CENTER
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720

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-thunaibat's NPI number?

The NPI number for Ahmad Al-thunaibat is 1891480893. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Ahmad Al-thunaibat located?

Ahmad Al-thunaibat practices at 1432 Broadrick Drive, Dalton, GA 30720. The listed phone number is (706) 226-8990.

What is Ahmad Al-thunaibat's specialty?

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

Is Ahmad Al-thunaibat enrolled in Medicare?

Yes. Ahmad Al-thunaibat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ahmad Al-thunaibat was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.