Mohanad Eltahir, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000967 Issued in AZ

Practice address

4739 N 1St Ave
Tucson, AZ 85718-5610

Phone

(520) 614-6617

NPI assigned

Apr 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunbelt Medical Group LLCGroup PAC ID 4082983465, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunbelt Medical Group LLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1104354752
  Medicare reassignment Care Compare group NPD
• Academy Foot and Ankle Clinics LTD

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1477730315
  Medicare reassignment NPD
• Sunbelt Medical Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1568213700
  NPD
• T & L Foot & Ankle Surgeons

  • Foot & Ankle Surgery Podiatrist
  • Avondale, AZ
  • NPI 1700068228
  NPD (past)
• Alan F. Shader, D.P.M

  • Non-Pharmacy Dispensing Site
  • Hialeah, FL
  • NPI 1871802033
  NPD (past)

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

• SMSJ Tucson Holdings LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  Care Compare affiliation

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1649634320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-614-6617",
            "fax_number": "520-740-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-614-6617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 E Erickson Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122809",
            "country_code": "US",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13600 Icot Blvd",
            "address_2": "Bldg B",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603703",
            "country_code": "US",
            "telephone_number": "305-403-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N Tucson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857163406",
            "country_code": "US",
            "telephone_number": "520-209-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "MOHANAD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3822",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa'S Adult Care Home, LLC
• Ahmed Mahmoud Emad Ahmed Elsaidi, MBBCH
• Nagy Elsayyad, MBBCH(MD)
• Barbara Anne Else, MT-BC
• Bonnie B Else, PT
• Lara Eltze-Discher, DO
• Dawn A Elvick, MS, RD
• Zachary Elwell, MD
• Olivia Elwer
• Linda Elwood, DOCTORATE

• Foot & Ankle Surgery Podiatrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.