Individual provider Active NPI

Mohamed Aboubakr Elsheshtawi Ali, MD

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1912585159
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.48278 Issued in AL
Practice address
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone
(256) 429-4000
NPI assigned
Mar 30, 2021
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X MD.48278 AL Primary

Addresses

Primary practice location

1 Hospital Dr SW
Huntsville, AL 35801-6455

Mailing address

1763 Slaughter Rd NW Unit 197
Madison, AL 35758-8881
Phone (832) 834-0935

Other names 1

  • Dr. Mohamed Elsheshtawi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20260623001573 FL Practitioner - Internal Medicine 4981007788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006

PO Box
Chicago, IL 60674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.48278ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Physician Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
HH Health System Crestwood Physicians, LLC Internal Medicine CurrentSince Jun 16, 2026 Accepting new patients
Crestwood HB Medical Services LLC CurrentSince Apr 25, 2024 Accepting new patients
Crestwood Healthcare LP Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

165 Whitesport Dr SW
Ste 3
Huntsville, AL 35801
Phone (256) 429-4956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
  • Direct secure messaging: mohamed.ali.1@3038.direct.athenahealth.com
  • Direct secure messaging: mohamed.elsheshtawi@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1912585159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 SLAUGHTER RD NW UNIT 197",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588881",
            "telephone_number": "832-834-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016455",
            "telephone_number": "256-429-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMED",
        "middle_name": "ABOUBAKR ELSHESHTAWI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.48278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "ELSHESHTAWI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.