Individual provider Active NPI

Mini Jacob Elnaggar, M.D.

  • Radiation Oncology Physician
  • Beckley, WV
National Provider Identifier
1609057967
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD.201886 Issued in LA
Practice address
275 Dry Hill Rd
Beckley, WV 25801-2605
Phone
(304) 253-6060
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 125-046649 IL
Radiation Oncology Physician 2085R0001X MD.201886 LA Primary

Addresses

Primary practice location

275 Dry Hill Rd
Beckley, WV 25801-2605

Mailing address

1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000

Other practice location 1

1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
03078754MedicaidMS
1051110MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, WV, MT3 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

Enrollment IDStateProvider typePAC IDDetails
I20080501000218 LA Practitioner - Radiation Oncology 0143309211 Reassigns benefits to 1 organization
I20250618000564 WV Practitioner - Radiation Oncology 0143309211 Reassigns benefits to 2 organizations
I20251224001065 MT Practitioner - Radiation Oncology 0143309211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabell Huntington Hospital IncGroup PAC ID 3274436340, 88 clinicians
Holy Rosary HealthcareGroup PAC ID 8921045667, shared by 5 NPIs, 49 clinicians
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone (304) 526-2000

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

275 Dry Hill Rd
Beckley, WV 25801-2605
Phone (304) 253-6060

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-046649ILMDRadiation Oncology Physician
MD.201886LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2009 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Holy Rosary Healthcare CurrentSince Dec 11, 2025 Accepting new patients
Holy Rosary Healthcare Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2009 Accepting new patients
Charleston Area Medical Center Inc CurrentSince May 27, 2025 Accepting new patients
Holy Rosary Healthcare CurrentSince Dec 11, 2025 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

Interoperability endpoints

  • Direct secure messaging: melnaggar618116@christushealth.direct-ci.net
  • Direct secure messaging: melnaggar12370@direct.ochsner.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1609057967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 DRY HILL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012605",
            "telephone_number": "304-253-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Jefferson Highway",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70121",
            "country_code": "US",
            "telephone_number": "504-842-4000",
            "fax_number": "504-842-2037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELNAGGAR",
        "first_name": "MINI",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "125-046649",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "MD.201886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03078754",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051110",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.