Individual provider Active NPI

Mohamed Elkotb, M.D.

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1275528713
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
31663 Issued in AZ
Practice address
2875 W Ray Rd Ste 6-326
Chandler, AZ 85224-3524
Phone
(480) 336-8951
Fax
(480) 842-8859
NPI assigned
Sep 12, 2005
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 31663 AZ Primary

Addresses

Primary practice location

2875 W Ray Rd Ste 6-326
Chandler, AZ 85224-3524

Mailing address

2875 W Ray Rd Ste 6-326
Chandler, AZ 85224-3524
Phone (480) 336-8951

Other identifiers 3

IdentifierTypeStateIssuer
AZ0755180OtherAZBCBS
861931MedicaidAZ
P00184436OtherAZRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040522000294 AZ Practitioner - NeurologyPractitioner - Internal Medicine 9830180330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500

13677 W McDowell Ave
Goodyear, AZ 85395-2635
Phone (480) 336-8951

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (480) 336-8951

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Family Clinic Inc Family Medicine CurrentSince Nov 15, 2025 Accepting new patients
Leading Healthcare Specialist PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Neuropro Inc CurrentSince Oct 1, 2007 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Jul 19, 2023 Accepting new patients
Multi Specialty Physicians Group Inc PastSince Aug 2, 2020 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

2875 W Ray Rd
Ste 6326
Chandler, AZ 85224
Phone (480) 336-8951

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5130 W Thunderbird Rd
Ste 3
Glendale, AZ 85306
Phone (602) 889-3800

5620 W Thunderbird Rd
Ste B3
Glendale, AZ 85306
Phone (602) 206-6262

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

10632 N Scottsdale Rd
#B22
Scottsdale, AZ 85254

11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

2281 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 276-4293

11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503

Interoperability endpoints

  • Direct secure messaging: mohamed.elkotb.1@15849.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1275528713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD STE 6-326",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-336-8951",
            "fax_number": "480-842-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD STE 6-326",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-336-8951",
            "fax_number": "480-842-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKOTB",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "31663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0755180",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861931",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00184436",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.