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DR. SHADY MOUNIR ELDAIF M.D.
NPI 1790969111
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Atlanta, GA

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
960 JOHNSON FY RD NE, STE. 100, ATLANTA, GA 30342(404) 252-9063(404) 252-0873 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Dr. Shady Mounir Eldaif M.d. NPPES

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

DR. SHADY MOUNIR ELDAIF M.D. (NPI 1790969111) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Atlanta, Georgia, licensed in Georgia (066029) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790969111
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SHADY MOUNIR ELDAIFCredential: M.D.
Location Address960 JOHNSON FY RD NE, STE. 100Atlanta, GA 30342-1631
Mailing Address960 Johnson Fy Rd Ne, Ste. 100Atlanta, GA 30342-1631 · (404) 252-9063 · Fax (404) 252-0873
Phone(404) 252-9063
Fax(404) 252-0873
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 20, 2007
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1790969111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in GA · 066029
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
960 JOHNSON FY RD NE, Atlanta, GA 30342
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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

Dr. Shady Mounir Eldaif 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 ID6800015660
PECOS Enrollment IDI20140910001562
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 2

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

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
21 services21 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 7

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

LEGACY WOMEN'S HEALTHCARE, PC
Clinic/Center (Medical Specialty)
960 JOHNSON FY RD NE, SUITE 215
ATLANTA, GA 30342
Fulton County (404) 583-1898
KAYANA MCLARTY NP
Nurse Practitioner
960 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 300-2990
MITHUN SAM DANIEL D. O.
Family Medicine
960 JOHNSON FY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 255-7325
DR. STEVEN RICHARD BOMELI M.D.
Otolaryngology
960 JOHNSON FY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 943-0900
TANEISHA WARREN-PARKINSON DNP
Nurse Practitioner (Acute Care)
960 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 257-0006
DR. JENNIFER MCCOY LYMAN MD
Obstetrics & Gynecology
960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342
Fulton County (404) 257-0170
MISS SUJATHA NMN REDDY MD
Obstetrics & Gynecology (Gynecology)
960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342
Fulton County (404) 257-0170

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 Shady Eldaif's NPI number?

The NPI number for Shady Eldaif is 1790969111. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Shady Eldaif located?

Shady Eldaif practices at 960 Johnson Fy Rd NE Ste. 100, Atlanta, GA 30342. The listed phone number is (404) 252-9063.

What is Shady Eldaif's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shady Eldaif enrolled in Medicare?

Yes. Shady Eldaif 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.

Is Shady Eldaif affiliated with any hospitals?

According to CMS data, Shady Eldaif is affiliated with Northside Hospital Forsyth and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shady Eldaif was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.