Active NPI
Fady Elshikh, MD
- Hospitalist Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 62188
- Practice address
- 267 Grant St
Bridgeport, CT 06610 - Phone
- (203) 384-4677
- Fax
- (203) 384-3135
- NPI assigned
- Jul 16, 2015
- Last updated
- Oct 16, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018023709 | MO | |
| Internal Medicine Physician | 207R00000X | 191029 | CA | |
| Hospitalist Physician | 208M00000X | 62188 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610
Mailing address
20 York Street, CB-2041
New Haven, CT 06510-3220
Phone (203) 688-1734
Other practice location 1
One Hospital Dr
Columbia, MO 65212
Phone (573) 884-9066
Other practice location 2
One Hospital Dr
Columbia, MO 65212
Phone (573) 884-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191029 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Greenbrae, CA
- NPI 1841037850
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
dba Sonoma Valley Hospital
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1811371081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK STREET, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1734",
"fax_number": "203-688-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06610",
"telephone_number": "203-384-4677",
"fax_number": "203-384-3135"
}
],
"practiceLocations": [
{
"address_1": "ONE HOSPITAL DR",
"address_purpose": "LOCATION",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-884-9066",
"fax_number": "573-884-3037",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "ONE HOSPITAL DR",
"address_purpose": "LOCATION",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-884-9066",
"fax_number": "573-884-3037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSHIKH",
"first_name": "FADY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2018023709",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "191029",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "62188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.