Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aly Elezaby Jr., MDPHD

Individual provider Internal Medicine Physician · NPI 1245765809

Aly Elezaby Jr., MDPHD is a Cardiovascular Disease (Cardiology) in Stanford, California. Graduated from Boston University School of Medicine in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Boston University School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A157100 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A157100 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245765809
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedApril 20, 2017
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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