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Export Provider Record NPI 1124361019
Amir Samir Zakhary GendyM.D.
Active
NPI Number1124361019
NPI TypeNPI-1 Individual
SpecialtySurgery, Surgical Critical Care
Provider Details
NPI1124361019
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-03-29
Last Updated2025-07-09
Mailing Address190 E Bannock St
Boise, ID 83712-6241
United States
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Primary Practice Address520 S Eagle Rd
Meridian, ID 83642-6351
United States
Phone: (208) 381-6930 | Fax: (208) 381-6931
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No2086S0102X – Surgery, Surgical Critical CarePAMT203211
No2086S0102X – Surgery, Surgical Critical CareNY262950
No2086S0102X – Surgery, Surgical Critical CareIN01088790A
Yes2086S0102X – Surgery, Surgical Critical CareIDM-17457
No2086S0102X – Surgery, Surgical Critical CareAZ77707
No208600000X – SurgeryNY262950
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About NPI 1124361019

Amir Samir Zakhary Gendy M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124361019. The primary specialty listed is Surgery, Surgical Critical Care. The provider is located in Meridian, ID. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-03-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124361019?

NPI 1124361019 belongs to Amir Samir Zakhary Gendy M.D., a Surgery, Surgical Critical Care in Meridian, ID. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124361019 active?

The current status of NPI 1124361019 in the NPPES registry is Active. The record was last updated on 2025-07-09.

What specialty is NPI 1124361019?

NPI 1124361019 is classified under the taxonomy Surgery, Surgical Critical Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124361019?

You can verify NPI 1124361019 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124361019?

The primary practice address on file for NPI 1124361019 is 520 S Eagle Rd, Meridian, ID 83642-6351. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124361019 issued?

NPI 1124361019 was first issued (enumerated) on 2013-03-29. The NPPES record was last updated on 2025-07-09.

Practice Location Map

Amir Samir Zakhary Gendy is located at 520 S Eagle Rd, Meridian, ID. Use the map below to find directions or verify the practice location.

📍 520 S Eagle Rd, Meridian, ID 83642-6351  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Amir Samir Zakhary Gendy. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124361019. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Surgery, Surgical Critical CareMT203211PA
Surgery, Surgical Critical Care262950NY
Surgery, Surgical Critical Care01088790AIN
Surgery, Surgical Critical CareM-17457ID
Surgery, Surgical Critical Care77707AZ
Surgery262950NY
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162