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DR. AHMED ALY ELGHAWY D.O.
NPI 1952787848
Internal Medicine - Rheumatology in Miami Beach, FL

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
4300 ALTON RD, MIAMI BEACH, FL 33140(056) 743-3140(305) 674-2070 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Aug 17, 2021 (2 updates tracked since 2021).

About Dr. Ahmed Aly Elghawy D.o. NPPES

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

DR. AHMED ALY ELGHAWY D.O. (NPI 1952787848) is an individual rheumatology provider in Miami Beach, Florida, licensed in Florida (OS21502) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1952787848
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. AHMED ALY ELGHAWYCredential: D.O.
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address4300 Alton RdMiami Beach, FL 33140-2948 · (484) 213-3185
Phone(056) 743-3140
Fax(305) 674-2070
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 3, 2015
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1952787848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · OS21502
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS21502 (FL)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License OS21502 (FL)
4300 ALTON RD, Miami Beach, FL 33140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Dr. Ahmed Aly Elghawy D.o. 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 ID941533459
PECOS Enrollment IDI20241121003213
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

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 Ahmed Elghawy's NPI number?

The NPI number for Ahmed Elghawy is 1952787848. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Ahmed Elghawy located?

Ahmed Elghawy practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (056) 743-3140.

What is Ahmed Elghawy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ahmed Elghawy enrolled in Medicare?

Yes. Ahmed Elghawy 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 Ahmed Elghawy accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ahmed Elghawy 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.

Is Ahmed Elghawy affiliated with any hospitals?

According to CMS data, Ahmed Elghawy is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Ahmed Elghawy was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.