MOHAMED A. ELSAADANI MD
NPI 1366133530
Student in an Organized Health Care Education/Training Program in Lubbock, TX
About Mohamed A. Elsaadani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMED A. ELSAADANI MD (NPI 1366133530) is an individual student in an organized health care education/training program in Lubbock, Texas, licensed in Texas (BP10083571) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mohamed A. Elsaadani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mohamed Elsaadani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Auburn, ME 04210
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LUBBOCK, TX 79430
LUBBOCK, TX 79430
LUBBOCK, TX 79430
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 Elsaadani's NPI number?
The NPI number for Mohamed Elsaadani is 1366133530. It was assigned to this individual provider in the NPPES registry on May 17, 2023.
Where is Mohamed Elsaadani located?
Mohamed Elsaadani practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (215) 406-8783.
What is Mohamed Elsaadani'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 Elsaadani enrolled in Medicare?
Yes. Mohamed Elsaadani is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mohamed Elsaadani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Elsaadani reassigns Medicare benefits to St. Mary's Regional Medical Center (Auburn, ME). 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 Mohamed Elsaadani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mohamed Elsaadani accept?
Health plans from Harvard Pilgrim Health Care list Mohamed Elsaadani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mohamed Elsaadani was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mohamed A. Elsaadani, MD · NPI 1366133530
Student in an Organized Health Care Education/Training Program provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since May 17, 2023.
## Identity
- **NPI:** 1366133530 (Entity type: Individual)
- **Enumerated:** May 17, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** BP10083571 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 4TH ST, Lubbock, TX 79430-0002
- **Phone:** (215) 406-8783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Mary's Regional Medical Center (NPI 1407242522, Auburn, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366133530) · Data from the CMS NPPES public registry.