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MENATALLAH IHAB ELKOUSH DO
NPI 1396312229
Family Medicine in Liverpool, NY

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
4820 W TAFT RD STE 108, LIVERPOOL, NY 13088(315) 413-0004(315) 413-0827 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Menatallah Ihab Elkoush Do NPPES

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

MENATALLAH IHAB ELKOUSH DO (NPI 1396312229) is an individual family medicine provider in Liverpool, New York, licensed in New York (331636) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1396312229
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMENATALLAH IHAB ELKOUSHCredential: DO
Location Address4820 W TAFT RD STE 108Liverpool, NY 13088-4865
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3026
Phone(315) 413-0004
Fax(315) 413-0827
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1396312229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 331636
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4820 W TAFT RD STE 108, Liverpool, NY 13088
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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

Menatallah Ihab Elkoush Do 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 ID7911300686
PECOS Enrollment IDI20240910000747
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 2

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

TAYLOR FAHEY
Nurse Practitioner (Family)
4820 W TAFT RD STE 108
LIVERPOOL, NY 13088
Onondaga County (315) 413-0004
MRS. KELLY FINN FNP-BC
Nurse Practitioner (Family)
4820 W TAFT RD STE 108
LIVERPOOL, NY 13088
Onondaga County (585) 733-3389

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 Menatallah Elkoush's NPI number?

The NPI number for Menatallah Elkoush is 1396312229. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Menatallah Elkoush located?

Menatallah Elkoush practices at 4820 W Taft Rd Ste 108, Liverpool, NY 13088. The listed phone number is (315) 413-0004.

What is Menatallah Elkoush's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Menatallah Elkoush enrolled in Medicare?

Yes. Menatallah Elkoush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Menatallah Elkoush was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.