Alpha Gi Care, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ALPHA GI CARE, PC

Practice address

7247 Hanover Pkwy Ste a
Greenbelt, MD 20770-3661

Phone

(301) 345-5513

Fax

(301) 345-5608

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Suzan Ebrahimi, MDNPI 1194083899

Title

President/Owner

Phone

(301) 345-5877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzan Ebrahimi, MD

  • Gastroenterology Physician
  • Greenbelt, MD
  • NPI 1194083899

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1104383975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703661",
            "telephone_number": "301-345-5513",
            "fax_number": "301-345-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703661",
            "telephone_number": "301-345-5513",
            "fax_number": "301-345-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA GI CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "301-345-5877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mohannad Alshalabi, MD
• Breeona Alston
• Barah Alzalam, PHARM D
• Rosaline Enjoh Amah
• American Diagnostic Medicine

• Medical Specialty Clinic/Center in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.