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MAMDOUH M ELDEEB PT
NPI 1104876408
Specialist in Bronx, NY

Active since May 10, 2006
3250 WESTCHESTER AVE, SUITE LL5, BRONX, NY 10461(718) 518-8040(718) 518-8043 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mamdouh M Eldeeb Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMDOUH M ELDEEB PT (NPI 1104876408) is an individual specialist in Bronx, New York, licensed in New York (011463) and active in the NPI registry since May 2006. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1104876408
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMAMDOUH M ELDEEBCredential: PT
Location Address3250 WESTCHESTER AVE, SUITE LL5Bronx, NY 10461-4500
Mailing Address18 Faith LnArdsley, NY 10502-2529 · (914) 484-8210 · Fax (718) 518-8043
Phone(718) 518-8040
Fax(718) 518-8043
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104876408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 011463
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3250 WESTCHESTER AVE, Bronx, NY 10461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamdouh M Eldeeb Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597822205
PECOS Enrollment IDI20090325000250

Medicare Billing Reassignment

Medicare enrollment records show Mamdouh Eldeeb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Universal Physical Therapy,p.C.
Same address
Physical Therapy
3250 WESTCHESTER AVE, SUITE LL5
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Universal Physical Therapy PC
NPI 1548395726 (718) 518-8040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,666 services79 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,300 services79 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
794 services66 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
454 services40 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
40 services36 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
35 services33 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHA-GAYE NICOLA FEARON-ROBERTS RN
Registered Nurse
3250 WESTCHESTER AVE
BRONX, NY 10461
Bronx County (347) 621-2185
MRS. GABRIELA ROYAL MS. CCC-SLP
Speech-Language Pathologist
3250 WESTCHESTER AVE
BRONX, NY 10461
Bronx County (718) 597-5558
MERCENITA PADAMA WONG P.T.
Physical Therapist (Pediatrics)
3250 WESTCHESTER AVE, SUITE 108
BRONX, NY 10461
Bronx County (718) 597-5558
MRS. NICOLE MARCH MA, CCC-SLP
Speech-Language Pathologist
3250 WESTCHESTER AVE, SUITE 108
BRONX, NY 10461
Bronx County (718) 597-5558
MONTEFIORE MEDICAL CENTER
Clinic/Center (Primary Care)
3250 WESTCHESTER AVE
BRONX, NY 10461
Bronx County (914) 378-6163
MISS NYKIA COMERIE I
Behavior Analyst
3250 WESTCHESTER AVE
BRONX, NY 10461
Bronx County (347) 621-2185
SURGICARE AMBULATORY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
3250 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 518-9000
MRS. YESENIA PACHECO LMSW
Social Worker
3250 WESTCHESTER AVE, SUITE 108
BRONX, NY 10461
Bronx County (718) 597-5558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamdouh Eldeeb's NPI number?

The NPI number for Mamdouh Eldeeb is 1104876408. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Mamdouh Eldeeb located?

Mamdouh Eldeeb practices at 3250 Westchester Ave Suite Ll5, Bronx, NY 10461. The listed phone number is (718) 518-8040.

What is Mamdouh Eldeeb's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mamdouh Eldeeb enrolled in Medicare?

Yes. Mamdouh Eldeeb is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mamdouh Eldeeb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamdouh Eldeeb reassigns Medicare benefits to Universal Physical Therapy,p.C. (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamdouh Eldeeb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mamdouh Eldeeb was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.