Amged Eltahir, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301088273 Issued in MI

Practice address

1046 Rue la Ville Walk
Saint Louis, MO 63141-6220

Phone

(314) 269-6528

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• State of Missouri

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1710931167
  Medicare reassignment NPD
• State of Missouri

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1386198448
  NPD
• Barnes Jewish Hospital

  • General Acute Care Hospital
  • St Louis, MO
  • NPI 1114063492
  NPD (past)
• Barnes Jewish Hospital

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1407215734
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669499372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 RUE LA VILLE WALK",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416220",
            "telephone_number": "314-269-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 RUE LA VILLE WALK",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416220",
            "telephone_number": "314-269-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "AMGED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Donald Elster, MD
• April Elston, LPC
• Rengin Elsurer Afsar, MD
• Basant Eltaher Abdelrady Eltaher
• Ahmed Eltahir, MD
• Alexis M Elward, MD
• Jill E Elwing, MD
• Erin Elizabeth Ely, M.D.
• Gay D Ely, NP
• Jo Remmert Ely, LCSW

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.