Active NPI
Dally Alex
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R208579
- Practice address
- 9000 Franklin Square Dr
Baltimore, MD 21237-3901 - Phone
- (443) 777-2475
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R208579 | MD | Primary |
Addresses
Primary practice location
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Mailing address
14022 Jump Dr
Germantown, MD 20874-6122
Phone (484) 674-5487
Other names 1
- Dally Alex
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200227001696 | DC | Practitioner - Nurse Practitioner | 8022445279 | Reassigns benefits to 2 organizations |
| I20220818002568 | MD | Practitioner - Nurse Practitioner | 8022445279 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R208579 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Walter Reed National Military Medical Center | Family | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
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- NPI 1528578333
DC, MD
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- NPI 1003284282
-
- General Practice Physician
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-
- General Practice Physician
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- NPI 1083247894
-
- General Practice Physician
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- NPI 1407559081
-
- General Practice Physician
- Timonium, MD
- NPI 1457023079
-
- General Practice Physician
- Perry Hall, MD
- NPI 1487326013
-
- General Practice Physician
- Annapolis, MD
- NPI 1528874484
-
- General Practice Physician
- Baltimore, MD
- NPI 1568056547
-
- General Practice Physician
- Frederick, MD
- NPI 1619783537
-
- General Practice Physician
- Leonardtown, MD
- NPI 1679075345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1013548262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14022 JUMP DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746122",
"telephone_number": "484-674-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901",
"telephone_number": "443-777-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEX",
"first_name": "DALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R208579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DALLY",
"last_name": "ALEX",
"credential": "CRNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.