AHMED ELBANNA (D.O.) – Gastroenterology Physician, NPI 1003279761

AHMED ELBANNA (D.O.) is a healthcare provider. based in Grosse ile, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. 5101022515 (MI). The NPI Number for AHMED ELBANNA (D.O.) is 1003279761

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
AHMED ELBANNA (D.O.)
NPI
1003279761
Phone
(407) 766-8106
Address
26143 E RIVER RD
Enumeration Date
31 March 2016
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3866682221
Graduation Year
2016 (10 years ago)
PAC ID
7810281417
Group Practice PAC ID
2264432558
Professional Enrollment ID
I20230713003869
Address ID
FL327638427OR2884XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

648 GASTROENTEROLOGY in MI

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Provider Addresses for AHMED ELBANNA (D.O.)

  • 26143, East River Road, Grosse Ile Township, Wayne County, Michigan, 48138, United States

    GROSSE ILE, MI 481381853

    Phone: (407) 766-8106

    Type: Mailing

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-9100

    Type: Location

  • 2884 WELLNESS AVE, STE 100

    ORANGE CITY, FL 32763

    Phone: (386) 668-2221

    Fax: (386) 668-2228

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,619.

Total Amount is formed as General ($1,619) + Research ($0) + Ownership ($0) = $1,619.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($315).

Total Amount

$1,619

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230713003869IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity24587$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13669$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6161$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5454$0
45380Biopsy of large bowel using a flexible endoscope5151$0
View full utilization report →

Insurance plans in this area (ZIP 48138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264432558View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
P A T H O L O G YFL
Physician AssistantPA
-FL
G A S T R O E N T E R O L O G YNY
Gastroenterology, Internal MedicineFL
Physician AssistantFL
Physician AssistantFL
G A S T R O E N T E R O L O G YCA

Reviews

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Frequently asked questions

Does AHMED ELBANNA (D.O.) have a public NPI I can cite?
Public records show AHMED ELBANNA (D.O.) under NPI 1003279761.
Does the public listing show AHMED ELBANNA (D.O.) as active?
AHMED ELBANNA (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret AHMED ELBANNA (D.O.)'s specialty?
The extract shows Gastroenterology Physician for AHMED ELBANNA (D.O.). Clinical services aligned with this taxonomy classification.
Is AHMED ELBANNA (D.O.) tied to Grosse Ile, Michigan?
If you are local to Grosse Ile, Michigan, AHMED ELBANNA (D.O.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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