Look up the most recent NPI and PECOS records

Eltayeb H Elshiekh

Internal Medicine

Allopathic & Osteopathic Physicians

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

PECOS Enrollment

This provider is enrolled in PECOS as ELTAYEB ELSHIEKH.

Based on the most recent information from CMS, provider Eltayeb H Elshiekh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:21 AM.

Profile Details

Provider ID
1245325257
Provider Type
Individual
Full Name
Elshiekh, Eltayeb H
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/4/2006
Last Updated
7/20/2022

Contact Information

Practice Location

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

(248) 898-7999

(248) 898-0580

Mailing Location

26901 Beaumont Blvd, Ste 3d, Southfield, MI 48033-3849

(701) 780-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301502947 Michigan
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 247847 New York
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01062573A Indiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 10388 North Dakota
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 11910 North Dakota
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 10388 North Dakota
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 01062573A Indiana

Provider Identifiers

ID	Description	Issuer
ID 000000553121	Description Other	Issuer ANTHEM Indiana
ID 000000600893	Description Other	Issuer ANTHEM PROVIDER NUMBER / GROUP ARNETT CLINIC, LLC Indiana
ID P00478522	Description Other	Issuer RAILROAD MEDICARE Indiana
ID 200889470	Description Medicaid	Issuer Unlisted Indiana
ID 4630876	Description Other	Issuer AETNA Indiana

Eltayeb H Elshiekh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer