Individual provider Active NPI

Shereef Baher Elhalwagi, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1265939383
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A185161 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A185161 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230717002208 CA Practitioner - Diagnostic Radiology 6709132400 Reassigns benefits to 2 organizations
I20251018000053 TX Practitioner - Diagnostic Radiology 6709132400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians
X-Ray Medical Group IncGroup PAC ID 5294796801, 44 clinicians
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

1200 Brooklyn Ave
Suite 100
San Antonio, TX 78212-4810
Phone (210) 617-9900

12602 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3270
Phone (210) 617-9700

12709 Toepperwein Rd
Suite 106
Live Oak, TX 78233-3260
Phone (210) 617-9720

134 Menger SPGS
Boerne, TX 78006-7219

155 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-3988
Phone (210) 617-9500

18707 Hardy Oak Blvd
Suite 100
San Antonio, TX 78258-4794
Phone (210) 617-9550

1888 Nacogdoches Rd
Boutique Mammography
San Antonio, TX 78209-2216
Phone (210) 617-9920

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

4383 Medical Dr
Suite 150
San Antonio, TX 78229-3307
Phone (210) 617-9400

4458 Medical Dr
Suite 345
San Antonio, TX 78229-3748
Phone (210) 617-9220

5000 Schertz Pkwy
Suite 500
Schertz, TX 78154-1457
Phone (210) 617-9770

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-4000

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

7707 Ewing Halsell Dr
106 Womens Imaging Ctr Oak
San Antonio, TX 78229-4040
Phone (210) 617-9800

7898 Kitty Hawk Rd
Converse, TX 78109-1749
Phone (210) 617-9780

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 617-9674

9150 Huebner Rd
Suite 195
San Antonio, TX 78240-1599
Phone (210) 617-9160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185161CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Regents of the University of California Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8860 Center Dr
Ste 100
La Mesa, CA 91942
Phone (619) 740-4000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

10 Little Brook Rd
West Wareham, MA 02576

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1265939383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHALWAGI",
        "first_name": "SHEREEF",
        "middle_name": "BAHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A185161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.