Individual provider Active NPI

Antoine Jean Elhajjar, M.D.

  • Specialist
  • La Quinta, CA
National Provider Identifier
1558328203
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A53481 Issued in CA
Practice address
46100 Washington St
La Quinta, CA 92253-2042
Phone
(760) 340-0528
Fax
(760) 674-1590
NPI assigned
Apr 27, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Specialist 174400000X A53481 CA Primary
Neurology Physician 2084N0400X A53481 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A53481 CA

Addresses

Primary practice location

46100 Washington St
La Quinta, CA 92253-2042

Mailing address

46100 Washington St
La Quinta, CA 92253-2042
Phone (760) 340-0528

Other practice location 1

72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone (760) 340-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20040316001316 CA Practitioner - NeurologyPractitioner - Sleep MedicinePractitioner - Internal Medicine 5597655381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Antoine J Elhajjar MD IncGroup PAC ID 9537265533, 2 clinicians

Practice addresses (Care Compare)

46100 Washington St
La Quinta, CA 92253-2042
Phone (760) 340-0528

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.08 of 100Reported as individual
Quality
63.08
Promoting interoperability
80
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Antoine J Elhajjar M.D., Inc. Neurology CurrentSince Mar 9, 2004 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Desert Nephrology Specialist Past Accepting new patients

Locations

46100 Washington St
La Quinta, CA 92253
Phone (760) 340-0528

41990 Cook St
Ste C301
Palm Desert, CA 92211
Phone (760) 340-0528

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dr.antoine.elhajjar.1@21528.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21528/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1558328203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46100 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532042",
            "telephone_number": "760-340-0528",
            "fax_number": "760-674-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46100 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532042",
            "telephone_number": "760-340-0528",
            "fax_number": "760-674-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72057 Highway 111",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922704927",
            "country_code": "US",
            "telephone_number": "760-340-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELHAJJAR",
        "first_name": "ANTOINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A53481",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A53481",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A53481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.