Individual provider Active NPI

Abdalla Mohamed Elkhier, MD

  • Internal Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1649222753
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00023122 Issued in AL
Practice address
400 W Fort Williams St
Sylacauga, AL 35150-2436
Phone
(256) 249-0061
NPI assigned
May 17, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00023122 AL Primary

Addresses

Primary practice location

400 W Fort Williams St
Sylacauga, AL 35150-2436

Mailing address

PO Box 2419
Sylacauga, AL 35150-5419
Phone (256) 249-0061

Other identifiers 2

IdentifierTypeStateIssuer
051556534MedicaidAL
H07998OtherALHEALTH SPRINGS PROVIDER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040122000883 AL Practitioner - Internal MedicinePractitioner - Other (Physician) 0941102750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 W Ft Williams St
Sylacauga, AL 35150
Phone (256) 249-0061

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00023122ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sylacauga Internal Medicine, LLC Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
Coosa Valley Healthcare Center LLC Past Accepting new patients
Sylacauga Health Care Authority Inc Past Accepting new patients

Locations

310 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 245-9140

400 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 249-0028

Organizations & group practices 3

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1649222753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2419",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351505419",
            "telephone_number": "256-249-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502436",
            "telephone_number": "256-249-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHIER",
        "first_name": "ABDALLA",
        "middle_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00023122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556534",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRINGS PROVIDER",
            "identifier": "H07998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.