Individual provider Active NPI

Hussam Seif Eddeine, MD

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1306000179
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
45302 Issued in AZ
Practice address
2979 W Elliot Rd Ste 2
Chandler, AZ 85224-1641
Phone
(480) 939-3037
Fax
(480) 939-3173
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 45302 AZ
Neurology Physician 2084N0400X 45302 AZ Primary

Addresses

Primary practice location

2979 W Elliot Rd Ste 2
Chandler, AZ 85224-1641

Mailing address

PO Box 27388
Tempe, AZ 85285-7388
Phone (480) 939-3037

Other practice location 1

20823 N Cave Creek Rd Ste 102
Phoenix, AZ 85024-4469
Phone (480) 939-3037

Other practice location 2

36359 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7332
Phone (480) 939-3037

Other identifiers 1

IdentifierTypeStateIssuer
706219MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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
I20120725001077 AZ Practitioner - Neurology 3173789740 Reassigns benefits to 2 organizations
I20251122000895 CA Practitioner - Neurology 3173789740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

2979 W Elliot Rd
Unit 2
Chandler, AZ 85224-1641
Phone (480) 939-3037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Epilepsy Associates, LLC Neurology CurrentSince Feb 1, 2020 Accepting new patients
California Neurology Care P C Neurology CurrentSince Sep 1, 2025 Accepting new patients
Brain and Spine Center PLC Neurology Current Accepting new patients
Brain and Spine Center PLC Neurology CurrentSince Sep 3, 2019 Accepting new patients
Arizona Ophthalmology Specialists, PLC PastSince Nov 1, 2000 Accepting new patients

Locations

1760 E Florence Blvd
Ste 250
Casa Grande, AZ 85122
Phone (480) 494-2062

4045 W Chandler Blvd
Bldg F
Chandler, AZ 85226
Phone (480) 494-2061

2979 W Elliot Rd
Ste 2
Chandler, AZ 85224
Phone (480) 615-7800

20823 N Cave Creek Rd
Ste 102
Phoenix, AZ 85024
Phone (480) 939-3037

37200 N Gantzel Rd
Ste 240
San Tan Valley, AZ 85140
Phone (480) 939-3037

36359 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 636-1193

1976 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 644-1911

631 S Brookhurst St
Ste 214
Anaheim, CA 92804
Phone (714) 545-5200

1401 N Tustin Ave
Ste 350
Santa Ana, CA 92705
Phone (714) 558-8133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHDCD/Endpoint/FEHDCD

Organizations & group practices 5

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 2

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1306000179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27388",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857388",
            "telephone_number": "480-939-3037",
            "fax_number": "480-939-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 W ELLIOT RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241641",
            "telephone_number": "480-939-3037",
            "fax_number": "480-939-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20823 N Cave Creek Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850244469",
            "country_code": "US",
            "telephone_number": "480-939-3037",
            "fax_number": "480-939-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36359 N Gantzel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407332",
            "country_code": "US",
            "telephone_number": "480-939-3037",
            "fax_number": "480-939-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIF EDDEINE",
        "first_name": "HUSSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AZ",
            "license": "45302",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "45302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706219",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.