Mohamed Ali El-Shahawy, M.D.
Individual provider Active NPI Nephrology Physician · Los Angeles, CA
NPI 1760411151 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1760411151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- A42315 (CA)
- Practice address
- 5830 Whittier Blvd
Los Angeles, CA 90022-4302 - Phone
- (323) 725-0051
- Fax
- (323) 869-9245
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Academic Medical Research Institute Inc
Practice addresses (Care Compare)
5830 Whittier Blvd
Los Angeles, CA 90022-4302
Phone (323) 725-0051
Hospital & facility affiliations
- FMC-Paramount Hope Dialysis Center
- East Los Angeles Dialysis Center
- Monterey Park Hospital
- Saint Francis Medical Center
- Coast Plaza Hospital
- Garfield Medical Center
- Keck Hospital of Usc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050304000859 | CA | Practitioner - Nephrology |
1355331687 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42315 | CA | MD | Nephrology Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Medical Research Institute Inc | Nephrology | Current |
Accepting new patients |
| Paramount Hope Dialysis Center LLC | Current | Accepting new patients | |
| City of Hope Medical Foundation | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| East la Dialysis Center | Past |
Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients |
Locations
1500 Duarte Rd
Bldg 149
Duarte, CA 91010
Phone (626) 359-8111
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
1510 S Central Ave
Ste 210
Glendale, CA 91204
Phone (818) 241-7628
5830 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 725-0051
1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
23861 McBean Pkwy
Ste B14
Valencia, CA 91355
Phone (661) 799-1999
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- melshahawy8826@cityofhope.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A42315 | CA | Yes |
Addresses
Primary practice location
5830 Whittier Blvd
Los Angeles, CA 90022-4302
Mailing address
PO Box 1019
South Pasadena, CA 91031-1019
Phone (323) 842-5772
Other providers in Los Angeles, CA
- Neveen Shaher El-Farra
- Hebah S El-Gendi
- Anthony B. El-Khoueiry
- Maryliza Safwat El-Masry
- Lynn El-Roeiy
- Anthony David El-Sokkary
- Eric K. El-Tobgy
- S. Mella Hall El
- Ela Care Inc.
- Noa Ela-Dalman
All providers in Los Angeles, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.