Ibrahim Elsheikh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3592977 Issued in OH

Practice address

5 Severance Cir
Suite 107
Cleveland Heights, OH 44118-1566

Phone

(216) 382-4974

Fax

(216) 382-4981

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

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

Locations

Interoperability endpoints

• Direct secure messaging: ibrahim.elsheikh@iemi-oh.direct.office.nextgen.com
• Direct secure messaging: ielsheikh37853@ehrdirect.uhhospitals.org

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.

• Premier Physicians Centers, Inc.

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1780634279
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Pediatrics

  Medicare reassignment NPD
• Premier Physicians Centers Inc

  • Durable Medical Equipment & Medical Supplies
  • Westlake, OH
  • NPI 1679201479
  NPD
• William J. Washington M.D.,Inc

  • Primary Care Clinic/Center
  • Cleveland Heights, OH
  • NPI 1912017500
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1164626362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 107",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-382-4974",
            "fax_number": "216-382-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 107",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-382-4974",
            "fax_number": "216-382-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703323",
            "country_code": "US",
            "telephone_number": "419-557-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSHEIKH",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "3592977",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "3592977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "1457N",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/HEALTHEASE",
            "identifier": "512240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001053300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "331682",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5900049",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9082404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Clay Edwins, MD
• Effort Transport LLC
• Elhs Home Group LLC
• Danyell Shantia Elliott
• Linda Cathleen Elliott, PH.D., LISW-S
• Cindi Haines Engbert, RPH
• Ep Home Care LLC
• Evelyn Erokwu, MD
• Esra Home and Senior Care
• Essential Daily Wellness LTD

• Pediatrics Physician in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.