Alaa Eldin A Eldemerdash, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

V2620 Issued in TX

Practice address

701 W 5TH St
Odessa, TX 79763-4206

Phone

(432) 703-5310

Fax

(432) 335-5354

NPI assigned

May 3, 2013

Sex

Male

Sole proprietor

No

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.

• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084

  TX

  Medicare reassignment NPD
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554

  CA

  Medicare reassignment NPD
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127

  NV

  Medicare reassignment
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Cathedral City, CA
  • NPI 1629384615
  NPD
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1801291539
  NPD
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1710549829
  NPD
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NV, CA, TX3 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aeldemerdash10336@direct.umcsn.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1912342007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST STE 3142",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5310",
            "fax_number": "432-335-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDEMERDASH",
        "first_name": "ALAA ELDIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NV",
            "license": "14997",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A52968",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "V2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Trimble Edwards, DDS
• Eileen Li MD PA
• Amarachi Eke-Okoro
• Emade E Ekwelle, PHARMD
• Gary Wayne Elam, M.D.
• Elite Ivf & Fertility Solutions
• Byron D. Elliott, M.D.
• Lauryn Elliott, PTA
• Tausha Bradshaw Elliott, LPC
• Steven Ellsworth, M.D.

• All providers in Odessa, TX
• Neonatal-Perinatal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.