Individual provider Active NPI

Ali Naji Al-Hajjaj, MD

  • Transplant Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1174716294
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
9585 Issued in SD
Practice address
1315 S. Cliff Ave.
Ste. 1100
Sioux Falls, SD 57105-1057
Phone
(605) 322-7350
Fax
(605) 322-7351
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 9585 SD Primary
Gastroenterology Physician 207RG0100X ME98085 FL

Addresses

Primary practice location

1315 S. Cliff Ave.
Ste. 1100
Sioux Falls, SD 57105-1057

Mailing address

1315 S. Cliff Ave.
Ste. 1100
Sioux Falls, SD 57105-1057
Phone (605) 322-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023001580 SD Practitioner - General Practice 4183711096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9585SDMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 24, 2015 Accepting new patients
Avera McKennan CurrentSince Aug 24, 2015 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

911 E 20th St
Ste 509
Sioux Falls, SD 57105
Phone (605) 322-5800

1600 S Highline Ave
Ste 220
Sioux Falls, SD 57110
Phone (605) 322-8535

1315 S Cliff Ave
Ste 1100
Sioux Falls, SD 57105
Phone (605) 322-7287

1315 S Cliff Ave
Ste 1200
Sioux Falls, SD 57105
Phone (605) 322-3035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1174716294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S. CLIFF AVE.",
            "address_2": "STE. 1100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051057",
            "telephone_number": "605-322-7350",
            "fax_number": "605-322-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S. CLIFF AVE.",
            "address_2": "STE. 1100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051057",
            "telephone_number": "605-322-7350",
            "fax_number": "605-322-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAJJAJ",
        "first_name": "ALI",
        "middle_name": "NAJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "SD",
            "license": "9585",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME98085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.