Active NPI
Eliyahu Hemo, M.D.
- Surgery Physician
- Malvern, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E10499
- Practice address
- 1002 Schneider Dr Ste 102
Malvern, AR 72104-4823 - Phone
- (501) 332-1012
- Fax
- (501) 332-7074
- NPI assigned
- Jun 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E10499 | AR | Primary |
Addresses
Primary practice location
1002 Schneider Dr Ste 102
Malvern, AR 72104-4823
Mailing address
1002 Schneider Dr Ste 102
Malvern, AR 72104-4823
Phone (501) 332-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- 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
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100
524 W James Lee Blvd
Crestview, FL 32536-5129
Phone (850) 398-8725
550 Redstone Ave W
Suite 490
Crestview, FL 32536-6457
Phone (850) 689-8321
550 Redstone W Ave
Crestview, FL 32536-6457
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 54 |
| Hernia repair (minimally invasive) | 11 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 50 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E10499 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| Ess of Fordyce LLC | Current | Accepting new patients | |
| South Arkansas Physician Services LLC | Current | Accepting new patients | |
| Arkansas Health Group | Surgery | Current | Accepting new patients |
| Arkansas Health Group | Surgery | Current | Accepting new patients |
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| Hospital Care Consultants of Fordyce LLC | Current | Accepting new patients |
Locations
620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420
201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1002 Schneider Dr
Ste 102
Malvern, AR 72104
Phone (501) 202-7587
1002 Schneider Dr
Ste 103
Malvern, AR 72104
Phone (501) 332-1012
550 Redstone Ave W
Ste 410
Crestview, FL 32536
Phone (850) 306-2188
400 Redstone Ave W
Crestview, FL 32536
Phone (850) 683-1555
1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600
330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177
Interoperability endpoints
- eliyahu.hemo.1@1523.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Crestview, FL
- NPI 1659329852
-
dba Baptist Health Specialty Clinic Malvern
- Surgery Physician
- Malvern, AR
- NPI 1780015958
-
- Emergency Medicine Physician
- Fordyce, AR
- NPI 1821547977
-
- Hospitalist Physician
- Fordyce, AR
- NPI 1316497464
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
-
- Durable Medical Equipment & Medical Supplies
- Crestview, FL
- NPI 1477738896
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255627824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 SCHNEIDER DR STE 102",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044823",
"telephone_number": "501-332-1012",
"fax_number": "501-332-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 SCHNEIDER DR STE 102",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044823",
"telephone_number": "501-332-1012",
"fax_number": "501-332-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMO",
"first_name": "ELIYAHU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E10499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- 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.