Mahgoub Abdalla Eltoum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22318 Issued in AL

Practice address

209 West Spring Street
Suite 200
Sylacauga, AL 35150-2975

Phone

(256) 245-5241

Fax

(256) 245-0194

NPI assigned

Sep 25, 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

Medicare fee-for-service enrollment

Enrolled in AL

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

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 and National Provider Directory roles.

• Craddock Health Center P C

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1184669483
  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1508966920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WEST SPRING STREET",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502975",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WEST SPRING STREET",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502975",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTOUM",
        "first_name": "MAHGOUB",
        "middle_name": "ABDALLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Hope Dykes, DPT
• Tammy Edwards
• Zachary Ian Edwards, CRNA
• Elevate Speech & Language Services, LLC
• Abdalla Mohamed Elkhier, MD
• Megan Epperson, RN, IBCLC
• Faith 'Homecare' Hospice, Inc.
• Family Eye Care
• Family Eye Care of Sylacauga LLC
• Stephanie Farr, PHARM.D.

• Internal Medicine Physician in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.