Gamal A Elsaidi, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

36607 Issued in SC

Practice address

10 E Hospital Street
Emergency Dept
Manning, SC 29102

Phone

(803) 435-8463

NPI assigned

Jun 24, 2006

Last updated

Oct 26, 2016By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, NC, VA3 enrollments

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 3

Specialty

Emergency Medicine

Education

Michigan State University College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  NC, VA

  Medicare reassignment Care Compare group
• Alleghany Emergency Group LLC

  • Emergency Medicine Physician
  • Sparta, NC
  • NPI 1477840791
  Medicare reassignment NPD
• Caberfae Emergency Group, P.C.

  • Emergency Medicine Physician
  • Cadillac, MI
  • NPI 1447932504
  Medicare reassignment NPD
• Emergency Physicians of Southern Virginia LLP

  • Emergency Medicine Physician
  • Galax, VA
  • NPI 1417187667
  Medicare reassignment NPD
• Emergency Professionals of Michigan, P.C.

  • Emergency Medicine Physician
  • Dearborn, MI
  • NPI 1952740656
  Medicare reassignment NPD
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment NPD
• Carolina Medical Wave

  • Health Service Clinic/Center
  • Cary, NC
  • NPI 1427718618
  NPD Authorized official
• Gaadra Enterprise PLLC

  dba QC Kinetix-Lincoln

  • Pain Clinic/Center
  • Lincoln, NE
  • NPI 1750022406
  NPD Authorized official
• Hills & Dales General Hospital, Inc.

  dba Sandusky Rapid Care

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Aesculapius PC

  dba Branch County Emergency Physicians

  • Emergency Medicine Physician
  • Coldwater, MI
  • NPI 1750331922
  NPD (past)
• Davie Medical Center

  • General Acute Care Hospital
  • Bermuda Run, NC
  • NPI 1154326379
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

• DLP Twin County Regional Healthcare LLC

  dba Twin County Regional Hospital

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1568498111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "803-435-5270",
            "fax_number": "803-433-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E HOSPITAL STREET",
            "address_2": "EMERGENCY DEPT",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAIDI",
        "first_name": "GAMAL",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200300147",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011933",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "36607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11275652",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Dukes, LPC
• Elizabeth Patrick Durant, PHARMD
• Robert S Eagerton Jr., M.D.
• East Palmetto Ambulance Service LLC
• Alyson Eve Eastep, APRN, CRNA
• Ava Marie English
• Hugh Wayne Epperson, R.PH
• Margaret Ashleigh Evans, PA
• Faith Therapeutic Services
• Ashlee Finnell, OD

• Emergency Medicine Physician in Manning, SC
• Providers in Manning, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.