Hadeer Saleh Eltahan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

82332 Issued in CT

Practice address

1251 Farmington Avenue
Bristol, CT 06010-2326

Phone

(860) 584-4535

NPI assigned

May 25, 2022

Last updated

Oct 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment Care Compare group NPD

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

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1023756590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANFORD HEALTH 801 BROADWAY NORTH",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581220170",
            "telephone_number": "701-234-6076",
            "fax_number": "701-234-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 FARMINGTON AVENUE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102326",
            "telephone_number": "860-584-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHAN",
        "first_name": "HADEER",
        "middle_name": "SALEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "82332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ehmer
• Christina Lynn Ehrenreich, LCMHC
• Eleonora Corey Counseling Services LLC
• Elim Labenie Home Care LLC
• Michael Roy Ellis, DMD
• Diana Elwell, DNP
• Embracing Our Journey Counseling, LLC (Embracing Our Journey Counseling)
• Embracing Our Journey Counseling, LLC (Embracing Our Journey Counseling)
• Emergency Medical Associates of Connecticut PC
• Kara Ann Emmett, APRN

• Family Medicine Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.