NPIMap

Individual provider Active NPI

Mohamed El-Sayed El-Tarabily, MD

  • Hematology & Oncology Physician
  • Cheyenne, WY
National Provider Identifier
1467418905
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7809A Issued in WY
Practice address
310 E 24TH St
Cheyenne, WY 82001-3126
Phone
(307) 634-9311
NPI assigned
Apr 25, 2006
Last updated
Jul 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 7809A WY
Hematology & Oncology Physician 207RH0003X MD23076 OR
Hematology & Oncology Physician 207RH0003X 7809A WY Primary

Addresses

Primary practice location

310 E 24TH St
Cheyenne, WY 82001-3126

Mailing address

310 E 24TH St
Cheyenne, WY 82001-3126
Phone (307) 634-9311

Other identifiers 1

IdentifierTypeStateIssuer
287418MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080227000240 WY Practitioner - Hematology/Oncology 1658393368 Reassigns benefits to 2 organizations
I20221020003195 MT Practitioner - Hematology/Oncology 1658393368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7809AWYMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Oct 24, 2022 Accepting new patients
Ivinson Memorial Hospital CurrentSince Mar 14, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 2, 2024 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Billings Clinic Current Accepting new patients
Ivinson Memorial Hospital CurrentSince Mar 14, 2018 Accepting new patients
Billings Clinic Hematology & Oncology CurrentSince Oct 24, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 2, 2024 Accepting new patients
Advanced Surgical Care, LLC Past Accepting new patients
Cardiovascular Consultants of the Cascades LLP Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Interoperability endpoints

  • Direct secure messaging: meltarabily4830@direct.crmcwy.org

Organizations & group practices 12

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 12

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1467418905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 24TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013126",
            "telephone_number": "307-634-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 24TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013126",
            "telephone_number": "307-634-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-TARABILY",
        "first_name": "MOHAMED",
        "middle_name": "EL-SAYED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "WY",
            "license": "7809A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD23076",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WY",
            "license": "7809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287418",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.