Organization Active NPI

Elham Medical International Inc

  • Hospitalist Physician
  • Globe, AZ
National Provider Identifier
1295967180
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ELHAM MEDICAL INTERNATIONAL INC
Practice address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone
(818) 687-7620
NPI assigned
Aug 11, 2009
Last updated
Feb 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Authorized official

Name
Hisham Dawood Hamam, M.D.NPI 1285785097
Title
President
Phone
(818) 687-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

5880 S Hospital Dr
Globe, AZ 85501-9447

Mailing address

PO Box 12578
Tucson, AZ 85732-2578
Phone (818) 687-7620

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hishamhamam@yahoo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091110000370 AZ Part B Supplier - Clinic/Group Practice 5193863264 Receives reassigned benefits from 3 practitioners
Practice locations: Globe, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1295967180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12578",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322578",
            "telephone_number": "818-687-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "818-687-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELHAM MEDICAL INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "HAMAM",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "DAWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-687-7620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hishamhamam@yahoo.com",
            "affiliation": "N",
            "address_1": "5880 S Hospital Dr",
            "city": "Globe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "855019447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.