Raef Mounir Elsanadi, MD

Key facts

NPI

1487744819

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

A53042 (CA)

Practice address

333 Corporate Dr Ste 210
Ladera Ranch, CA 92694-2179

Phone

(949) 364-3582

Fax

(949) 364-1472

NPI assigned

Oct 14, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Raef M Elsanadi MD Inc a Professional Corporation Internal Medicine Physician · Mission Viejo, CA · NPI 1053482752
  Medicare reassignment Care Compare group NPD Authorized official CA · INTERNAL MEDICINE

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comfort Hospice Inc Community Based Hospice Care Agency · Burbank, CA · NPI 1033528898
  Care Compare affiliation Hospice
• Genezen Home Health Care Services Inc Home Health Agency · Mission Viejo, CA · NPI 1073974911
  Care Compare affiliation Home health agency
• Hoag Home Health LLC Home Health Agency · Newport Beach, CA · NPI 1174192892
  Care Compare affiliation Home health agency
• Mission Hospital Regional Medical Center General Acute Care Hospital · Mission Viejo, CA · NPI 1912108002
  Care Compare affiliation Hospital
• Mission Hospital Regional Medical Center General Acute Care Hospital · Mission Viejo, CA · NPI 1992752315
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raef M Elsanadi MD Inc a Professional Corporation (2 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genezen Home Health Care Services, Inc Home health agency · Mission Viejo, CA · CCN 559045
• Hoag Home Health Home health agency · Newport Beach, CA · CCN 557412
• Comfort Hospice, Inc Hospice · San Marino, CA · CCN 921574
• Providence Mission Hospital Hospital · Mission Viejo, CA · CCN 050567

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raefelsanadi@elsanandimd.ssdirect.aprima.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2021.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1487744819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942179",
            "telephone_number": "949-364-3582",
            "fax_number": "949-364-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942179",
            "telephone_number": "949-364-3582",
            "fax_number": "949-364-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSANADI",
        "first_name": "RAEF",
        "middle_name": "MOUNIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Ladera Ranch, CA · Internal Medicine Physician in California