Organization Active NPI

Elamin Medical PC

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1194274779
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52575 Issued in AZ
Legal business name
ELAMIN MEDICAL PC
Practice address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone
(928) 344-2000
Fax
(928) 317-9300
NPI assigned
Sep 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Authorized official

Name
Dr. Mohemed El Amin, MDNPI 1417207499
Title
Director
Phone
(928) 344-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 52575 AZ Primary

Addresses

Primary practice location

2400 S Avenue a
Yuma, AZ 85364-7127

Mailing address

PO Box 1313
Yuma, AZ 85366-2359
Phone (928) 317-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161026003184 AZ Part B Supplier - Clinic/Group Practice 5799063640 Receives reassigned benefits from 1 practitioner
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1194274779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662359",
            "telephone_number": "928-317-9100",
            "fax_number": "928-317-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000",
            "fax_number": "928-317-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAMIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "EL AMIN",
        "authorized_official_first_name": "MOHEMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-344-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.