MOHAMED ELKHODARY MD
NPI 1184302291
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Active since July 10, 2023PECOS Enrolled
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 24, 2025, Aug 28, 2023, Jul 23, 2023 and 1 more (4 updates tracked since 2023).

About Mohamed Elkhodary Md NPPES

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

MOHAMED ELKHODARY MD (NPI 1184302291) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184302291
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMED ELKHODARYCredential: MD
Location Address830 S GLOSTER STTupelo, MS 38801-4934
Mailing Address830 S Gloster StTupelo, MS 38801-4934 · (662) 377-3000
Sole ProprietorYes
Enumeration DateJuly 10, 2023
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1184302291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
830 S GLOSTER ST, Tupelo, MS 38801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamed Elkhodary Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801

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 Mohamed Elkhodary's NPI number?

The NPI number for Mohamed Elkhodary is 1184302291. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Mohamed Elkhodary located?

Mohamed Elkhodary practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3000.

What is Mohamed Elkhodary's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohamed Elkhodary enrolled in Medicare?

Yes. Mohamed Elkhodary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamed Elkhodary was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.