MOHAMED YASSIN ELGAMAL MD
NPI 1972189520
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since March 23, 2021PECOS Enrolled
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-8685 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohamed Yassin Elgamal Md NPPES

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

MOHAMED YASSIN ELGAMAL MD (NPI 1972189520) is an individual student in an organized health care education/training program in Waterbury, Connecticut, licensed in Connecticut (06-0646844) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1972189520
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMED YASSIN ELGAMALCredential: MD
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing Address56 Franklin StWaterbury, CT 06706-1253 · (203) 709-6424
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
NPI 1972189520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 06-0646844
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.
56 FRANKLIN ST, Waterbury, CT 06706

Secondary Practice Location 1

Location 1101 Nicolls RdStony Brook, NY 11794-1253 · Phone (631) 444-3869

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mohamed Yassin Elgamal 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.

Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706

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 Elgamal's NPI number?

The NPI number for Mohamed Elgamal is 1972189520. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Mohamed Elgamal located?

Mohamed Elgamal practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-8685.

What is Mohamed Elgamal's specialty?

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

Is Mohamed Elgamal enrolled in Medicare?

Yes. Mohamed Elgamal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamed Elgamal was last updated on March 14, 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.