Individual provider Active NPI

Eyad Almallouhi, MD

  • Vascular Neurology Physician
  • Sarasota, FL
National Provider Identifier
1003264193
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
ME162571 Issued in FL
Practice address
1921 Waldemere St Ste 607
Sarasota, FL 34239-2913
Phone
(941) 262-3100
Fax
(941) 261-3760
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39410 SC
Vascular Neurology Physician 2084V0102X ME162571 FL Primary

Addresses

Primary practice location

1921 Waldemere St Ste 607
Sarasota, FL 34239-2913

Mailing address

PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600

Other practice location 1

169 Ashley Ave
room 202 main hospital, MSC 333
Charleston, SC 29425-8905
Phone (843) 792-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211029001627 SC Practitioner - Neurology 1759661184 Reassigns benefits to 1 organization
I20230609000138 FL Practitioner - NeuropsychiatryPractitioner - Neurology 1759661184 Reassigns benefits to 1 organization
I20230803000801 OK Practitioner - Neurology 1759661184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SMH Physician Services Inc 781 clinicians
University Medical Associates of the Medical University of South Carol 1,634 clinicians

Practice addresses (Care Compare)

1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239-3509

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

1921 Waldemere St
Sarasota, FL 34239-2913

1921 Waldemere St
Sarasota, FL 34239-2941

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 917-4896

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME162571FLMDVascular Neurology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Neurology CurrentSince Oct 13, 2021 Accepting new patients
SMH Physician Services Inc Neurology CurrentSince Jul 24, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 13, 2021 Accepting new patients
Warren Clinic Inc CurrentSince Jul 4, 2023 Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1921 Waldemere St
Ste 607
Sarasota, FL 34239
Phone (941) 262-3100

1921 Waldemere St
Ste 605
Sarasota, FL 34239
Phone (941) 331-6181

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ealmallouhi195958@direct.musc.edu
  • Direct secure messaging: eyad.almallouhi@fpg.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1003264193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 607",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-262-3100",
            "fax_number": "941-261-3760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "room 202 main hospital, MSC 333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMALLOUHI",
        "first_name": "EYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "39410",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME162571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.