Individual provider Active NPI

Atef A Eltomey, M.D.

  • Neurological Surgery Physician
  • Cleveland, OH
National Provider Identifier
1881629111
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
050589 Issued in OH
Practice address
18099 Lorain Ave
Suite 425
Cleveland, OH 44111-5610
Phone
(216) 252-6330
Fax
(216) 252-6819
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 050589 OH Primary

Addresses

Primary practice location

18099 Lorain Ave
Suite 425
Cleveland, OH 44111-5610

Mailing address

18099 Lorain Ave
Suite 425
Cleveland, OH 44111-5610
Phone (216) 252-6330

Other identifiers 7

IdentifierTypeStateIssuer
0557713MedicaidOH
350987OtherOHWELLCARE
341542312152OtherOHCARESOURCE
P00437212OtherOHRAILROAD CARE
000000517252OtherOHANTHEM BC/BS
746799OtherOHBCHP
P00705927OtherOHRAILROAD CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050589OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Hospital Association Past Accepting new patients
Clinic Regional Physicians LLC Neurological Surgery Past Accepting new patients
Lakewood Hospital Association Neurological Surgery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1881629111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-252-6330",
            "fax_number": "216-252-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-252-6330",
            "fax_number": "216-252-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTOMEY",
        "first_name": "ATEF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "050589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0557713",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "350987",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341542312152",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00437212",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000517252",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP",
            "identifier": "746799",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00705927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.