Individual provider Active NPI

Tarek Sayed Elganainy

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1962559534
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555793 Issued in VA
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

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5583633OtherVAAETNA PROVIDER NUMBER
139261OtherVAANTHEM BS BC
260788OtherVASOUTHERN HEALTH PROV ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000359 VA Practitioner - Chiropractic 7810922036 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CH 7767FLMDChiropractor
0104555793VAMDChiropractor
006030GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Family Wellness PC Chiropractor CurrentSince Jan 2, 2008 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.

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.

Verify at the official NPI Registry.