Organization Active NPI

Ali O. Erol, MD LLC

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1205217304
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALI O. EROL, MD LLC
Practice address
901 Wethersfield Ave
Hartford, CT 06114
Phone
(860) 296-6006
Fax
(860) 296-6007
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Ali O Erol, M.D.NPI 1639118565
Title
Doctor
Phone
(860) 296-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

901 Wethersfield Ave
Hartford, CT 06114

Mailing address

901 Wethersfield Ave
Hartford, CT 06114
Phone (860) 296-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150629001679 CT Part B Supplier - Clinic/Group Practice 0749592129 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12498/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1205217304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-296-6006",
            "fax_number": "860-296-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-296-6006",
            "fax_number": "860-296-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI O. EROL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "EROL",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "860-296-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.