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

Menatallah Ihab Elkoush, DO

Individual provider Family Medicine Physician · NPI 1396312229

Menatallah Ihab Elkoush, DO is a Family Practice in Liverpool, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2021, 5 years ago. Practices with Familycare Medical Group PC, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4820 W Taft Rd Ste 108
Liverpool, NY 13088-4865
Phone: (315) 413-0004
Fax: (315) 413-0827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 331636 (NY)

Record details

NPI number1396312229
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2021
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 specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2021 (5 years in practice)
Group practice Familycare Medical Group Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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