Individual provider Active NPI

Laith Alhuneafat, MD

  • Student in an Organized Health Care Education/Training Program
  • Minneapolis, MN
National Provider Identifier
1043771157
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
420 Delaware Street SE,
MMC 508
Minneapolis, MN 55455-5545
Phone
(612) 625-9100
NPI assigned
Mar 29, 2019
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary
Internal Medicine Physician 207R00000X MD478023 PA

Addresses

Primary practice location

420 Delaware Street SE,
MMC 508
Minneapolis, MN 55455-5545

Mailing address

420 Delaware Street SE
MMC 508
Minneapolis, MN 55455
Phone (612) 625-9100

Other practice location 1

4727 Friendship Ave Ste 200
Pittsburgh, PA 15224-1778
Phone (412) 235-5810

Other practice location 2

1307 Federal St Ste B300
Pittsburgh, PA 15212-4775
Phone (412) 359-3751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804000138 PA Practitioner - Internal Medicine 1052793205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD478023PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jun 30, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jun 30, 2022 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4727 Friendship Ave
Ste 200
Pittsburgh, PA 15224
Phone (412) 235-5810

Organizations & group practices 3

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1043771157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE STREET SE",
            "address_2": "MMC 508",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-625-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE STREET SE,",
            "address_2": "MMC 508",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554555545",
            "telephone_number": "612-625-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4727 Friendship Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241778",
            "country_code": "US",
            "telephone_number": "412-235-5810",
            "fax_number": "412-235-5890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 Federal St Ste B300",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124775",
            "country_code": "US",
            "telephone_number": "412-359-3751",
            "fax_number": "412-359-8439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHUNEAFAT",
        "first_name": "LAITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD478023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.