Individual provider Active NPI

Eli Quinn Harris, M.D.

  • Cardiovascular Disease Physician
  • East Meadow, NY
National Provider Identifier
1861928699
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M-17650 Issued in ID
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone
(516) 572-0123
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-17650 ID
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X M-17650 ID Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Other practice location 1

6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107
Phone (208) 302-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231208002115 CO Practitioner - Cardiovascular Disease (Cardiology) 7517204498 Reassigns benefits to 1 organization
I20241121000844 IA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517204498 Reassigns benefits to 1 organization
I20260505002969 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517204498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Northwest Iowa Hospital CorporationGroup PAC ID 0749198026, 139 clinicians

Practice addresses (Care Compare)

50 Hospital Dr
Suite 3B 2
Hendersonville, NC 28792-5248
Phone (828) 687-0088

5885 Sunnybrook Dr
Suite L200
Sioux City, IA 51106-4251
Phone (712) 239-4702

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17650IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 3, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 3, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Internal Medicine Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2730 Pierce St
Ste 300B
Sioux City, IA 51104
Phone (712) 239-4702

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

5885 Sunnybrook Dr
Ste L200
Sioux City, IA 51106
Phone (712) 239-4702

Interoperability endpoints

  • Direct secure messaging: eharris1153075@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1861928699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 W Curtisian Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837040107",
            "country_code": "US",
            "telephone_number": "208-302-2000",
            "fax_number": "208-302-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELI",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-17650",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-17650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.