Mustafa Eldadah, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-33656 Issued in IA

Practice address

330 Laurel St
Suite 2100
Des Moines, IA 50314-3034

Phone

(515) 643-8611

Fax

(515) 643-8812

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mustafa El-Dadah Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meldadah3943978@direct.trinity-health.org

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.

• Mercy Clinics, Inc.

  dba MercyOne Clive Family Medicine Clinic

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923
  Medicare reassignment NPD
• Mercy Clinics Inc

  dba MercyOne Des Moines Pediatrics Care Clinc

  • Pediatric Adolescent Medicine Physician
  • Des Moines, IA
  • NPI 1407036262
  NPD
• Mercy Clinics, Inc

  dba MercyOne Grimes Family Medicine Clinic

  • Primary Care Clinic/Center
  • Johnston, IA
  • NPI 1194741694
  NPD
• Mercy Clinics, Inc.

  dba MercyOne Des Moines OB Hospitalists

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1306954516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDADAH",
        "first_name": "MUSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-33656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUSTAFA",
            "last_name": "EL-DADAH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy L Ekhardt, M.D.
• Alison Ekwena, LISW
• Jason Chinwe Nkem Ekwena, M.D.
• Rima I El-Herte, M.D.
• Eman Elahmady, PHARMD
• Elder Concerns LC (ElderConcerns)
• Steven A Elg, MD, PHD
• Jayla Marie Elgin, CRC
• Abdelaziz Elhaddad, MD
• Anne Elkins

• Pediatrics Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.