HUSAM ELSHEIKH M.D.
NPI 1356427512
Internal Medicine - Gastroenterology in La Mesa, CA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
44.67/100
CMS Quality Rating
8851 CENTER DR STE 303, LA MESA, CA 91942(619) 464-1138(619) 464-4987 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Husam Elsheikh M.d. NPPES

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

HUSAM ELSHEIKH M.D. (NPI 1356427512) is an individual gastroenterology provider in La Mesa, California, licensed in California (A41651) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1356427512
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHUSAM ELSHEIKHCredential: M.D.
Location Address8851 CENTER DR STE 303La Mesa, CA 91942-3017
Mailing Address8851 Center Dr Ste 303La Mesa, CA 91942-3017 · (619) 464-1138 · Fax (619) 464-4987
Fax(619) 464-4987
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1356427512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A41651
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8851 CENTER DR STE 303, La Mesa, CA 91942

Other Names 1

Professional Name (2)Husam Elsheikh M.d.

Other Identifiers 1

Medicaid00A416510CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Husam Elsheikh M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618165408
PECOS Enrollment IDI20101221000363
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
520 services361 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
287 services212 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
270 services156 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
82 services82 patients
Biopsy of small bowel (except ileum) using an endoscope 44361
A small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

44.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality42.13
Improvement Activities0
Cost64.75

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 0% 464
Controlling High Blood Pressure 46% 368
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25% 793
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77% 393
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15% 33
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 393
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
522
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
522
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
522

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356427512, enumerated as an "individual" on October 31, 2006.

The provider is located at 8851 CENTER DR STE 303 LA MESA, CA 91942 and the phone number is (619) 464-1138.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.