Individual provider Active NPI

Ehsan Yahya Sharaf-Eldeen, DMD, MD, MBA, FACS

  • Oral and Maxillofacial Surgery (Dentist)
  • Melbourne, FL
National Provider Identifier
1235367350
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN18430 Issued in FL
Practice address
940 S Harbor City Blvd
Melbourne, FL 32901-1909
Phone
(352) 246-3131
NPI assigned
Jun 26, 2009
Last updated
Aug 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN18430 FL Primary

Addresses

Primary practice location

940 S Harbor City Blvd
Melbourne, FL 32901-1909

Mailing address

940 S Harbor City Blvd
Melbourne, FL 32901-1909
Phone (352) 246-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001388 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668786245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ehsan Y. Sharaf-Eldeen DMD, MD, Facs, P.a. Oral and Maxillofacial Surgery CurrentSince Aug 10, 2025 Accepting new patients

Locations

940 S Harbor City Blvd
Melbourne, FL 32901
Phone (352) 246-3131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1235367350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011909",
            "telephone_number": "352-246-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011909",
            "telephone_number": "352-246-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAF-ELDEEN",
        "first_name": "EHSAN",
        "middle_name": "YAHYA",
        "name_prefix": "Dr.",
        "credential": "DMD, MD, MBA, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.