Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmad Atallah, MD, MA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689237695

Ahmad Atallah, MD, MA is an Internal Medicine in Mesa, Arizona. Graduated from Creighton University School of Medicine in 2019, 7 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6644 E Baywood Ave
Mesa, AZ 85206-1797
Phone: (480) 321-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006-2612 — (602) 839-2266

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65596 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)

Record details

NPI number1689237695
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MA
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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