Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528629946 Individual Practitioner Male Practitioner

Dr. Ahmed Eldessouky , MD

Pediatrics • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ahmed Eldessouky, MD is a registered healthcare professional specializing in Pediatrics in Jackson, MI. Practice services are available at 505 N JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

505 N Jackson St

Jackson, MI 492011266

Telephone 5177485500
Associated Practice Facility / Clinic
🏢 Center For Family Health Facility NPI 1780784439

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Jackson, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301507856

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4351044319 (MI)

Secondary Practice Locations

60005 Campground Rd Ste 100

Washington, MI 480943446

Phone: 8623253555

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kassidy Treacey

Nurse Practitioner - Family

NPI 1003603481
Dr. Raul Andino , MD

Obstetrics & Gynecology

NPI 1033121652

Doctor of Medicine (M.D.)

Dr. Gregory Naylor , MD

Internal Medicine

NPI 1083602742

Doctor of Medicine (M.D.)

Beth Vansumeren

Community Health Worker

NPI 1093541369
NPI 1093860413

Doctor of Dental Surgery

Kylie Young , LLMSW

Social Worker - Clinical

NPI 1104420942

Limited Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 03, 2023

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

📍
Updated Business Mailing Address August 03, 2023

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Pediatrics (License #4301507856 in MI)

📍
Updated Practice Location June 28, 2022

Registered at 60005 CAMPGROUND RD STE 100, WASHINGTON, MI 480943446 (Tel: 8623253555)

📍
Updated Business Mailing Address June 28, 2022

Registered at 60005 CAMPGROUND RD STE 100, WASHINGTON, MI 480943446 (Tel: 5862325355)

NPI Profile Active June 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2019

Registered at 5303 S CEDAR ST STE 205, LANSING, MI 489113800 (Tel: 5178874305)

📍
Updated Business Mailing Address June 26, 2019

Registered at 5303 S CEDAR ST STE 205, LANSING, MI 489113800

👤
Provider Name / Credentials Updated June 26, 2019

Recorded as AHMED ELDESSOUKY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2019

Pediatrics (License #4351044319 in MI)

🟢
Initial NPI Registration & Enumeration June 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ahmed Eldessouky. Be the first to share your experience!

Sign in to leave a review for Dr. Ahmed Eldessouky

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528629946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2019
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

505 N Jackson St

Jackson, MI 492011266

Phone: 5177485500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.