NPIMap

Individual provider Active NPI

Maitham Saad S Alkadumi, MD

  • Vascular & Interventional Radiology Physician
  • East Meadow, NY
National Provider Identifier
1568968378
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A201355 Issued in CA
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone
(516) 572-6637
NPI assigned
Apr 2, 2018
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A201355 CA Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6637

Other names 1

  • Maitham Al-Kadumi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115002223 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0042559635 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vascular a Professional Medical CorporationGroup PAC ID 6204350093, 10 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

Practice addresses (Care Compare)

1611 W March LN
Stockton, CA 95207-6401
Phone (209) 226-3400

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vascular a Professional Medical Corporation CurrentSince Dec 4, 2025 Accepting new patients
Advanced Radiology and Interventional Associates Inc Vascular & Interventional Radiology CurrentSince Oct 20, 2025 Accepting new patients
Authority Vascular Surgery Incorporated CurrentSince Dec 4, 2025 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

1611 W March Ln
Stockton, CA 95207
Phone (209) 226-3400

1617 N California St
Ste 1A
Stockton, CA 95204
Phone (209) 467-6363

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

530 W Eaton Ave
Ste K
Tracy, CA 95376
Phone (209) 834-8259

Organizations & group practices 10

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 5

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1568968378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKADUMI",
        "first_name": "MAITHAM",
        "middle_name": "SAAD S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A201355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAITHAM",
            "last_name": "AL-KADUMI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.