El Sheikh Eltayeb Ahmed Kineish, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301099981 Issued in MI

Practice address

8273 S Saginaw St Ste B
Grand Blanc, MI 48439-2465

Phone

(810) 653-0899

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davison Medical Practice PLC

  • Internal Medicine Physician
  • Davison, MI
  • NPI 1598258105
  Medicare reassignment NPD
• Davison Medical Practice PLC

  • Internal Medicine Physician
  • Grand Blanc, MI
  • NPI 1184409955
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1861405797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N IRISH RD STE B",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232276",
            "telephone_number": "810-653-0899",
            "fax_number": "810-653-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 S SAGINAW ST STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392465",
            "telephone_number": "810-653-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Davison Medical Practice",
            "address_2": "1260 N Irish Rd., Suite B",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "48423",
            "country_code": "US",
            "telephone_number": "810-653-0899 x4864",
            "fax_number": "810-653-4144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINEISH",
        "first_name": "EL SHEIKH ELTAYEB",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301099981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SE Yeon Kim, DO
• Kimberly a Pummill MD PC
• Kimberly Sanderson PLLC
• Ian Kincade, PTA
• Laniyah Kincaid
• Nariyah King
• Joseph Allen Kingsbury, D.O.
• Annelies Kinzie
• Ryan Patrick Kirby, MD
• Allison Michelle Kitchen, FNP-BC

• Internal Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.