Mohamed Tarek Elghetany, M.D.

Primary specialty

Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X

License

H2356 Issued in TX

Practice address

6621 Fannin Street
Texas Children's Hospital Department of Pathology
Houston, TX 77030

Phone

(832) 824-5122

Fax

(832) 825-5110

NPI assigned

Nov 10, 2006

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

PathologyAlso: Hematology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Childrens HospitalGroup PAC ID 0244298446, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Childrens Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1487600334

  Hematology

  Medicare reassignment Care Compare group NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment
• Texas Childrens Hospital

  dba Pediatric Pathology Consultants

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1285403642
  NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1467523886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN STREET",
            "address_2": "DEPARTMENT OF PATHOLOGY, TCH, SUITE WB 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-5122",
            "fax_number": "832-825-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN STREET",
            "address_2": "TEXAS CHILDREN'S HOSPITAL DEPARTMENT OF PATHOLOGY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-5122",
            "fax_number": "832-825-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGHETANY",
        "first_name": "MOHAMED",
        "middle_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TX",
            "license": "H2356",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "H2356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118289104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elfrida Homes LLC
• Sameh Samir Elawady Hafez Elgahsh, MB BCH
• Arwa Mohammed Abdulbaset Elgamal
• Zak W Elgamal, L.S.A.
• Amr Elgehiny
• Angelia Mary Elgin, RN, DNP
• Rae Lynn Diane Elgohary, SLPA
• Christian Elhaj
• George Eid Elhaj, M.D.
• Lina Nadine Elhaj, OD

• Hematology (Pathology) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Hematology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.