Alaeldin Abdalla Eltom, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

64523 Issued in AZ

Practice address

10238 E Hampton Ave
Suite 501
Mesa, AZ 85209-8520

Phone

(480) 889-1573

NPI assigned

Jul 16, 2008

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alaeldin.eltom@shoreheartgroup.directbygreenway.com

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.

• Chan Heart Rhythm Institute PLLC

  dba East Valley Heart

  • Clinical Cardiac Electrophysiology Physician
  • Mesa, AZ
  • NPI 1174949754
  NPD (past)
• Cardiovascular Associates of the Delaware Valley,P a

  • Cardiovascular Disease Physician
  • Haddon Heights, NJ
  • NPI 1366495632
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1033373386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE",
            "address_2": "SUITE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094860",
            "telephone_number": "480-889-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE",
            "address_2": "SUITE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098520",
            "telephone_number": "480-889-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTOM",
        "first_name": "ALAELDIN",
        "middle_name": "ABDALLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09012300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "64523",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "64523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmwood Group Homes
• Arthur William Elrey III, D.C.
• Lily Elsaleh
• Heinz J. Elsner, M.D.
• Hiba Eltahir
• Elvin Ho OD PC
• Patricia Elzner, NP
• Embrace Assisted Living LLC
• Embraceable Az LLC (Comfort Braces West Mesa)
• Embree DDS PLLC (The Tooth Spa Arizona)

• Interventional Cardiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.

Verify at the official NPI Registry.