Active NPI
Shady Mounir Eldaif, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlanta, GA
National Provider Identifier
1790969111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 066029
- Practice address
- 960 Johnson Fy Rd NE
Ste. 100
Atlanta, GA 30342-1631 - Phone
- (404) 252-9063
- Fax
- (404) 252-0873
- NPI assigned
- Dec 20, 2007
- Last updated
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 066029 | GA | Primary |
Addresses
Primary practice location
960 Johnson Fy Rd NE
Ste. 100
Atlanta, GA 30342-1631
Mailing address
960 Johnson Fy Rd NE
Ste. 100
Atlanta, GA 30342-1631
Phone (404) 252-9063
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shady.eldaif@northsidehospital.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Emory University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Atlanta Cardiac & Thoracic Surgery | Past | Accepting new patients |
Locations
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- seldaif189927@cityofhope.direct-ci.com
- shady.eldaif@northsidehospital.cernerdirect.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Specialist
- Atlanta, GA
- NPI 1376753970
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba City of Hope Cancer Center Atlanta
- General Acute Care Hospital
- Newnan, GA
- NPI 1235417288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1790969111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 JOHNSON FY RD NE",
"address_2": "STE. 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421631",
"telephone_number": "404-252-9063",
"fax_number": "404-252-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOHNSON FY RD NE",
"address_2": "STE. 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421631",
"telephone_number": "404-252-9063",
"fax_number": "404-252-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDAIF",
"first_name": "SHADY",
"middle_name": "MOUNIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "066029",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shady.eldaif@northsidehospital.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "960 Johnson Fy Rd NE",
"address_2": "Ste. 100",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303421631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.