Individual provider Active NPI

Iglal El Henawi, MD

  • General Practice Physician
  • Hemet, CA
National Provider Identifier
1023234812
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A62143 Issued in CA
Practice address
4020 W. Florida Ave
Hemet, CA 92545-5279
Phone
(951) 765-5000
Fax
(951) 658-0237
NPI assigned
Apr 18, 2007
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A62143 CA Primary

Addresses

Primary practice location

4020 W. Florida Ave
Hemet, CA 92545-5279

Mailing address

4020 W Florida Ave
Hemet, CA 92545-5279
Phone (951) 765-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000604 CA Practitioner - General PracticePractitioner - PathologyPractitioner - Hematology 5890838106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Hematology, Pathology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4020 W Florida Ave
Hemet, CA 92545-5279
Phone (951) 765-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62143CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I Henawi MD Inc General Practice CurrentSince Jan 2, 2010 Accepting new patients
Hemet Valley Medical Center Past Accepting new patients

Locations

4020 W Florida Ave
Hemet, CA 92545
Phone (951) 766-6040

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: iglal.elhenawi.p52@direct.kmsm.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1023234812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-765-5000",
            "fax_number": "951-658-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W. FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-765-5000",
            "fax_number": "951-658-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HENAWI",
        "first_name": "IGLAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A62143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.