Active NPI
Mohamed Murtada Ali-Eltom
- Neurology Physician
- Washington, DC
National Provider Identifier
1710146709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2020-030323
- Practice address
- 2139 Georgia Ave NW Ste 3B
2139 Georgia Avenue, NW, Suite #3B, Washington, DC 200
Washington, DC 20001-3006 - Phone
- (202) 865-1917
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2020-030323 | NC | Primary |
Addresses
Primary practice location
2139 Georgia Ave NW Ste 3B
2139 Georgia Avenue, NW, Suite #3B, Washington, DC 200
Washington, DC 20001-3006
Mailing address
5765 Reading Ave Apt 62
Alexandria, VA 22311-5968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-030323 | NC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1710146709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5765 READING AVE APT 62",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223115968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 GEORGIA AVE NW STE 3B",
"address_2": "2139 GEORGIA AVENUE, NW, SUITE #3B, WASHINGTON, DC 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013006",
"telephone_number": "202-865-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI-ELTOM",
"first_name": "MOHAMED",
"middle_name": "MURTADA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2020-030323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.