Dr. Elie Fegahli, MD
Internal Medicine in Hudson, FL. Individual provider (NPI-1).
NPI number1013545300
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1013545300
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elie Fegahli
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME157865 | FL | Yes |
| 208M00000X | Hospitalist | ME157865 | FL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
14000 Fivay RdHudson, FL 34667-7103
Phone 727-819-2966 · Fax 727-819-2928
Mailing address
14000 Fivay RdHudson, FL 34667-7103
Phone 727-819-2966 · Fax 727-819-2928
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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