ELHAM GHADISHAH (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1174546071

ELHAM GHADISHAH (M.D.) is a healthcare provider. based in Culver city, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A55006 (CA). The NPI Number for ELHAM GHADISHAH (M.D.) is 1174546071

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
ELHAM GHADISHAH (M.D.)
NPI
1174546071
Phone
(323) 936-8800
Address
3831 HUGHES AVE
Enumeration Date
25 July 2006
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
3103037496
Graduation Year
1994 (32 years ago)
PAC ID
2567492119
Group Practice PAC ID
5991609737
Professional Enrollment ID
I20050815000271
Address ID
CA905034607TO4101XBLVD300

Contacts

Secure Messaging
eghadishah390149@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

Loading map...

Provider Addresses for ELHAM GHADISHAH (M.D.)

  • 3831, Hughes Avenue, Palms, Los Angeles, Los Angeles County, California, 90232, United States

    SUITE 708

    CULVER CITY, CA 902322751

    Phone: (323) 936-8800

    Fax: (310) 441-7739

    Type: Location

  • Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States

    SUITE 1108

    LOS ANGELES, CA 900244522

    Phone: (323) 936-8800

    Fax: (310) 441-7739

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-10-13 • Largest payer in this snapshot: Medline Industries LP ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$24
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: 2005-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050815000271IInternal MedicineCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes326300$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes30884$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7666$0
99316Nursing facility discharge management, more than 30 minutes6057$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5211$0
View full utilization report →

Insurance plans in this area (ZIP 90232)

Loading plans...

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: 5991609737View full group profile
NameSpecialtyState
-CA
Infectious Disease, Internal MedicineCA
N E U R O L O G YCA
-CA
Internal MedicineCA
Nurse PractitionerCA
-CA
Rheumatology, Internal MedicineCA
H O S P I T A L I S TNY
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for ELHAM GHADISHAH (M.D.)?
The registry entry for ELHAM GHADISHAH (M.D.) shows NPI 1174546071.
Is ELHAM GHADISHAH (M.D.)'s NPI status active today?
Active status means ELHAM GHADISHAH (M.D.)'s NPI record is not deactivated in the public file.
What type of care does ELHAM GHADISHAH (M.D.) provide?
ELHAM GHADISHAH (M.D.)'s profile centers on Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELHAM GHADISHAH (M.D.)?
ELHAM GHADISHAH (M.D.) is associated with Culver City, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

WALTER A FORRED (MD)

Geriatric Medicine (Family Medicine) Physician
2335 E KASHIAN LN STE 301
NPI: 1144225897

Unknown Individual

Geriatric Medicine (Family Medicine) Physician
Oroville Hospital, 2767, Olive Highway, Oroville, Butte County, California, 95966, United States
NPI: 1205831872

SHANTHARAM PAI (M.D.)

Geriatric Medicine (Family Medicine) Physician
PO BOX 10069
NPI: 1053317537

OVER SIXTY HEALTH CENTER

Geriatric Medicine (Family Medicine) Physician
PO BOX 11247
NPI: 1689670002

LIFELONG MEDICAL CARE- EAST OAKLAND

Geriatric Medicine (Family Medicine) Physician
MacArthur Boulevard, Oakland, Alameda County, California, 2952, United States
NPI: 1154327138

Unknown Individual

Geriatric Medicine (Family Medicine) Physician
Santa Monica Boulevard, Sawtelle, Santa Monica, Los Angeles County, California, 90404, United States
NPI: 1114924792

DR. DARRIN M. BRIGHT (D.O.)

Family Medicine Physician
1033, Los Palos Drive, Claremont Manor, Salinas, Monterey County, California, 93901, United States
NPI: 1992702146