Active NPI
Tarek Sayed Elganainy
- Chiropractor
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555793
- Practice address
- 13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216 - Phone
- (804) 594-1998
- Fax
- (804) 594-3804
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555793 | VA | Primary |
| Chiropractor | 111N00000X | 006030 | GA | |
| Chiropractor | 111N00000X | CH 7767 | FL |
Addresses
Primary practice location
13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216
Mailing address
13924 Coalfield Commons PL
Ste 102
Midlothian, VA 23114-1216
Phone (804) 594-1998
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5583633 | Other | VA | AETNA PROVIDER NUMBER |
| 139261 | Other | VA | ANTHEM BS BC |
| 260788 | Other | VA | SOUTHERN HEALTH PROV ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13924 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1255
Phone (804) 594-1998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 7767 | FL | MD | Chiropractor |
| 0104555793 | VA | MD | Chiropractor |
| 006030 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic & Family Wellness PC | Chiropractor | Current | Accepting new patients |
| Sykes Chiropractic Life Center | Chiropractor | Past | Accepting new patients |
Locations
13924 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 594-1998
13461 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 594-1998
Organizations & group practices 2
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.
-
- Chiropractor
- Midlothian, VA
- NPI 1316115652
-
- Chiropractor
- Port St Lucie, FL
- NPI 1912181637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1962559534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13924 COALFIELD COMMONS PL",
"address_2": "STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231141216",
"telephone_number": "804-594-1998",
"fax_number": "804-594-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13924 COALFIELD COMMONS PL",
"address_2": "STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231141216",
"telephone_number": "804-594-1998",
"fax_number": "804-594-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGANAINY",
"first_name": "TAREK",
"middle_name": "SAYED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555793",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "006030",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 7767",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5583633",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BS BC",
"identifier": "139261",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH PROV ID",
"identifier": "260788",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.