Active NPI
Sherif Omar El Mahdy, MD
- Pulmonary Disease Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101237850
- Practice address
- 600 Gresham Dr
Suite 8630
Norfolk, VA 23507 - Phone
- (757) 388-6115
- Fax
- (757) 388-6116
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 11374 | ND | |
| Pulmonary Disease Physician | 207RP1001X | 4301075357 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 36458 | IA | |
| Pulmonary Disease Physician | 207RP1001X | 0101237850 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr
Suite 8630
Norfolk, VA 23507
Mailing address
600 Gresham Dr
Suite 8630
Norfolk, VA 23507-1904
Phone (757) 388-6115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235255290 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 384-4925
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3934
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Williamsburg Regional Medical Center
- Sentara Obici Hospital
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36458 | IA | MD | Pulmonary Disease Physician |
| 4301075357 | MI | MD | Pulmonary Disease Physician |
| 11374 | ND | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Pulmonary Disease | Current | Accepting new patients |
| MCV Associated Physicians | Past | Accepting new patients |
Locations
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
600 Gresham Dr
Ste 8630B
Norfolk, VA 23507
Phone (757) 338-6115
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
600 Gresham Dr
Ste 8630
Norfolk, VA 23507
Phone (757) 388-6105
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263
Interoperability endpoints
- sherifelmahdy@cicapc.allscriptsdirect.net
- selmahdy248508@direct.sentara.net
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1235255290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"address_2": "SUITE 8630",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-6115",
"fax_number": "757-388-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"address_2": "SUITE 8630",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-388-6115",
"fax_number": "757-388-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL MAHDY",
"first_name": "SHERIF",
"middle_name": "OMAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ND",
"license": "11374",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301075357",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "36458",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101237850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235255290",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.
- 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.