Individual provider Active NPI

Sherif Elsayed Abdelfattah Elsayed Ali Ali, MD

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1861011009
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.144402 Issued in OH
Practice address
1103 Schrock Rd Ste 201
Columbus, OH 43229-1179
Phone
(614) 401-4415
NPI assigned
Apr 8, 2020
Last updated
Mar 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.144402 OH Primary

Addresses

Primary practice location

1103 Schrock Rd Ste 201
Columbus, OH 43229-1179

Mailing address

1103 Schrock Rd Ste 201
Columbus, OH 43229-1179
Phone (614) 401-4415

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR, NY, IL, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220520002052 OH Practitioner - Anesthesiology 4880071398 Reassigns benefits to 1 organization
I20230906003634 AR Practitioner - Anesthesiology 4880071398 Reassigns benefits to 1 organization
I20240304002714 NY Practitioner - Anesthesiology 4880071398 Reassigns benefits to 1 organization
I20241231001553 IL Practitioner - Anesthesiology 4880071398 Reassigns benefits to 1 organization
I20250605001686 TX Practitioner - Anesthesiology 4880071398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Anesthesiology CurrentSince Dec 30, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 30, 2023 Accepting new patients
Signify Health, LLC CurrentSince May 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 24, 2023 Accepting new patients
Texas Children's Physician Group CurrentSince May 29, 2025 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1861011009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SCHROCK RD STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291179",
            "telephone_number": "614-401-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SCHROCK RD STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291179",
            "telephone_number": "614-401-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4316",
            "fax_number": "718-881-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSAYED ALI ALI",
        "first_name": "SHERIF",
        "middle_name": "ELSAYED ABDELFATTAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.144402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.