Mahmoud Elrakhawy, MD
Individual provider Active NPI Vascular Surgery Physician · Urbana, IL
NPI 1003379256 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1003379256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 036169297 (IL)
- Practice address
- 611 W Park St
Urbana, IL 61801-2501 - Phone
- (217) 904-7000
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carle Health Care Incorporated
Hoopeston Community Memorial Hospital
Richland Memorial Hospital Inc
Practice addresses (Care Compare)
100 Lerna S Rd
Mattoon, IL 61938-9384
Phone (217) 258-5900
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Hoopeston Regional Health Center
- Carle Richland Memorial Hospital
- Paris Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 17 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717004196 | IL | Practitioner - Vascular Surgery | 1850836537 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169297 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current |
Accepting new patients | |
| Richland Memorial Hospital, Inc | Current |
Accepting new patients | |
| Kirby Medical Center | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Kirby Medical Center | Current |
Accepting new patients | |
| Carle Bromenn Medical Center | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current |
Accepting new patients | |
| Carle Eureka Hospital | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- melrakhawymd417540@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036169297 | IL | Yes |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2501
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (217) 853-6406
Other providers in Urbana, IL
- Tammie Ellingson
- Cassandra L Elliott
- David H Ellis
- Michelle Marie Elmore
- Ahmed Tarek Elrakhawy
- Walter Elrod
- Ayesha Eman
- Embrace It Counseling & Consulting, LLC
- Emeritus Corporation
- Lainey K Emmons
All providers in Urbana, IL · Vascular Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.