DR. MONEEB M. EHTESHAM (M.D.) – Neurological Surgery Physician, NPI 1346413929

DR. MONEEB M. EHTESHAM (M.D.) is a healthcare provider. based in Huntsville, Alabama. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. MC-129 (GU). The NPI Number for DR. MONEEB M. EHTESHAM (M.D.) is 1346413929

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MONEEB M. EHTESHAM (M.D.)
NPI
1346413929
Phone
(256) 533-1600
Address
201 GOVERNORS DR SW FL 1
Enumeration Date
3 April 2008
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172504280
Graduation Year
1999 (27 years ago)
PAC ID
8820302672
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20230607003163
Address ID
TX761047304FO800XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

98 NEUROSURGERY in AL

Provider Addresses for DR. MONEEB M. EHTESHAM (M.D.)

  • 201 GOVERNORS DR SW FL 1

    HUNTSVILLE, AL 358015171

    Phone: (256) 533-1600

    Fax: (256) 539-0856

    Type: Location

  • Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727581455

    Phone: (479) 338-3720

    Fax: (479) 338-3749

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Globus Medical, Inc. ($58).

Total Amount

$58

General + Research + Ownership

Payments

1

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Globus Medical, Inc.$58
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190327002894INeurosurgeryARTBD
I20230202000685INeurosurgeryGUTBD
I20230607003163INeurosurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5755$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3522$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3419$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MONEEB M. EHTESHAM (M.D.)?
DR. MONEEB M. EHTESHAM (M.D.) — NPI 1346413929 — is the standard way to identify this listing.
Can I rely on DR. MONEEB M. EHTESHAM (M.D.) being an active provider?
As of the registry snapshot, DR. MONEEB M. EHTESHAM (M.D.) is marked active.
What taxonomy line describes DR. MONEEB M. EHTESHAM (M.D.)?
For research purposes, treat DR. MONEEB M. EHTESHAM (M.D.) as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MONEEB M. EHTESHAM (M.D.) serve?
DR. MONEEB M. EHTESHAM (M.D.)'s listing highlights Huntsville, Alabama; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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