Organization Active NPI

Eloubeidi Gastroenterology and Associates Inc

  • Gastroenterology Physician
  • Oxford, AL
National Provider Identifier
1841939592
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ELOUBEIDI GASTROENTEROLOGY AND ASSOCIATES INC
Practice address
912 Snow St
Oxford, AL 36203-1214
Phone
(256) 237-1001
Fax
(888) 324-9920
NPI assigned
Jun 1, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mohamad Eloubeidi, MD
Title
President
Phone
(256) 237-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

912 Snow St
Oxford, AL 36203-1214

Mailing address

912 Snow St
Oxford, AL 36203-1214
Phone (256) 237-1001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AnnistonDigestive@wma.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220729000067 AL Part B Supplier - Clinic/Group Practice 9436531050 Receives reassigned benefits from 2 practitioners
Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

912 Snow St
Oxford, AL 36203
Phone (256) 237-1001

Interoperability endpoints

  • Direct secure messaging: annistondigestive@wma.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1841939592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SNOW ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031214",
            "telephone_number": "256-237-1001",
            "fax_number": "888-324-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SNOW ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031214",
            "telephone_number": "256-237-1001",
            "fax_number": "888-324-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOUBEIDI GASTROENTEROLOGY AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ELOUBEIDI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-237-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AnnistonDigestive@wma.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Snow St",
            "city": "Oxford",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362031214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.