Individual provider Active NPI

Ali Sherif Eldin, MD

  • Anesthesiology Physician
  • Alton, IL
National Provider Identifier
1376599480
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MDR9G17 Issued in MO
Practice address
One Memorial Drive
Alton, IL 63136-6119
Phone
(618) 463-7311
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MDR9G17 MO Primary
Anesthesiology Physician 207L00000X 036077965 IL

Addresses

Primary practice location

One Memorial Drive
Alton, IL 63136-6119

Mailing address

PO Box 1125
Maryland Heights, MO 63043-0125
Phone (888) 731-1036

Other identifiers 3

IdentifierTypeStateIssuer
P00317566OtherRR MEDICARE
202401121MedicaidMO
203133OtherMOBCBS MO (GROUP #)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20050406000337 MO Practitioner - Anesthesiology 1052368677 Reassigns benefits to 1 organization
I20071004000099 IL Practitioner - Anesthesiology 1052368677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7311

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000

Hospital & facility affiliations

  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR9G17MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Midwest Anesthesia Inc. Anesthesiology Past Accepting new patients
South County Anesthesia Associates, LTD. Anesthesiology Past Accepting new patients
Mid-America Anesthesia Consultants, PC Anesthesiology Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

Interoperability endpoints

  • Direct secure messaging: aeldin135475@direct.carenet.org

Organizations & group practices 4

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 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376599480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430125",
            "telephone_number": "888-731-1036",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEMORIAL DRIVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "631366119",
            "telephone_number": "618-463-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIN",
        "first_name": "ALI",
        "middle_name": "SHERIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "MDR9G17",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036077965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00317566",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202401121",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO (GROUP #)",
            "identifier": "203133",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.