Active NPI
Rayan Abdo Elkattah, M.D.
- Obstetrics & Gynecology Physician
- Beverly Hills, CA
National Provider Identifier
1003128372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C193339
- Practice address
- 9001 Wilshire Boulevard
Suite 207
Beverly Hills, CA 90211 - Phone
- (423) 930-0240
- Fax
- (310) 551-7115
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C193339 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 51034 | TN |
Addresses
Primary practice location
9001 Wilshire Boulevard
Suite 207
Beverly Hills, CA 90211
Mailing address
9001 Wilshire Boulevard
Suite 207
Beverly Hills, CA 90211
Phone (423) 930-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C193339 | CA | MD | Obstetrics & Gynecology Physician |
| 51034 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Multi-Specialty | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Multi-Specialty | Current | Accepting new patients |
| Board of Trustees of the University of Illinois | Multi-Specialty | Current | Accepting new patients |
Locations
7694 Solutions Ctr
Chicago, IL 60677
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
Multi-Specialty
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
Multi-Specialty
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1003128372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BOULEVARD",
"address_2": "SUITE 207",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "423-930-0240",
"fax_number": "310-551-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BOULEVARD",
"address_2": "SUITE 207",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "423-930-0240",
"fax_number": "310-551-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKATTAH",
"first_name": "RAYAN",
"middle_name": "ABDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-02",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C193339",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "51034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.