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ELWASEILA HAMDOUN
NPI 1528370764
Pediatrics - Pediatric Endocrinology in Minneapolis, MN

Active since July 03, 2010PECOS Enrolled
2450 RIVERSIDE AVE, EAST BLDG., MB 677, MINNEAPOLIS, MN 55454(612) 624-5409(612) 626-5262 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Elwaseila Hamdoun NPPES

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

ELWASEILA HAMDOUN (NPI 1528370764) is an individual pediatric endocrinology provider in Minneapolis, Minnesota, licensed in Texas (R9770) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1528370764
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameELWASEILA HAMDOUN
Location Address2450 RIVERSIDE AVE, EAST BLDG., MB 677Minneapolis, MN 55454-1450
Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255
Phone(612) 624-5409
Fax(612) 626-5262
Sole ProprietorNo
Enumeration DateJuly 3, 2010
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1528370764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in TX · R9770
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 58041 (MN), 772-L (MS)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 N Santa RosaSan Antonio, TX 78207-3108 · Phone (210) 704-3030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elwaseila Hamdoun 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.

Medicare Billing Reassignment

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

Baylor College Of Medicine
1,110 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Elwaseila Hamdoun's NPI number?

The NPI number for Elwaseila Hamdoun is 1528370764. It was assigned to this individual provider in the NPPES registry on July 3, 2010.

Where is Elwaseila Hamdoun located?

Elwaseila Hamdoun practices at 2450 Riverside Ave East Bldg., Mb 677, Minneapolis, MN 55454. The listed phone number is (612) 624-5409.

What is Elwaseila Hamdoun's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Elwaseila Hamdoun enrolled in Medicare?

Yes. Elwaseila Hamdoun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elwaseila Hamdoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elwaseila Hamdoun reassigns Medicare benefits to Baylor College Of Medicine (San Antonio, TX). 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 Elwaseila Hamdoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elwaseila Hamdoun accept?

Health plans from Antidote Health of TX list Elwaseila Hamdoun 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 Elwaseila Hamdoun was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.