Individual provider Active NPI

Robert Gerard Alianiello, O.D.

  • Optometrist
  • Kingsville, MD
National Provider Identifier
1003841172
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1390 Issued in MD
Practice address
11824 Belair Rd
Kingsville, MD 21087-1314
Phone
(410) 593-9818
Fax
(410) 593-9828
NPI assigned
Jul 11, 2006
Last updated
Jun 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1390 MD Primary

Addresses

Primary practice location

11824 Belair Rd
Kingsville, MD 21087-1314

Mailing address

11824 Belair Rd
Kingsville, MD 21087-1314
Phone (410) 593-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000154 MD Practitioner - Optometry 3173529229 Reassigns benefits to 1 organization
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11824 Belair Rd
Kingsville, MD 21087-1314
Phone (410) 593-9818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1390MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alianiello Eye Care, Inc. Optometrist CurrentSince Oct 12, 2006 Accepting new patients

Locations

11824 Belair Rd
Kingsville, MD 21087
Phone (410) 593-9818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1003841172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 BELAIR RD",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871314",
            "telephone_number": "410-593-9818",
            "fax_number": "410-593-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 BELAIR RD",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871314",
            "telephone_number": "410-593-9818",
            "fax_number": "410-593-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIANIELLO",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, MD

Sources for this page

Verify at the official NPI Registry.