Individual provider Active NPI

Noori Al-Waili, M.D,PHD

  • Nephrology Physician
  • Abingdon, VA
National Provider Identifier
1215215579
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
269850 Issued in NY
Practice address
16000 Johnston Memorial Dr Ste 312C
Abingdon, VA 24211-7664
Phone
(276) 258-1985
NPI assigned
Aug 3, 2011
Last updated
Jun 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 269850 NY Primary
Nephrology Physician 207RN0300X 4301505722 MI
Nephrology Physician 207RN0300X 0101262393 VA

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 312C
Abingdon, VA 24211-7664

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487
Phone (540) 564-5800

Other practice location 2

4062 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0338

Other practice location 3

10120 Lefferts Blvd
Richmond Hill
South Richmond Hill, NY 11419-2006
Phone (734) 666-1144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nalwaili312535@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130924000470 NY Practitioner - Internal MedicinePractitioner - Nephrology 5597909093 Reassigns benefits to 8 organizations
I20240110004966 VA Practitioner - NephrologyPractitioner - Internal Medicine 5597909093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

10120 Lefferts Blvd
South Richmond Hill, NY 11419-2006
Phone (347) 666-1144

16000 Johnston Memorial Dr
312C
Abingdon, VA 24211-7664
Phone (276) 258-1985

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Nephrology CurrentSince Dec 15, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jan 6, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 6, 2014 Accepting new patients
Rochester General Hospital Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Mar 1, 2017 Accepting new patients
24 On Physicians, PC CurrentSince Jan 6, 2018 Accepting new patients
Wellmont Health System Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 6, 2014 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Sep 1, 2021 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 6, 2018 Accepting new patients
Cogent Medical Care PC CurrentSince Aug 13, 2019 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 15, 2023 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

16000 Johnston Memorial Dr
#312C
Abingdon, VA 24211
Phone (276) 258-1985

16000 Johnston Memorial Dr
Ste 312C
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nal-waili@cahclinics.medentdirect.com
  • Direct secure messaging: nalwaili312535@balladhealth.medalliesdirect.net
  • Direct secure messaging: noori.alwaili@direct.hvhc.org
  • Direct secure messaging: nsa9006@direct.nyp.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1215215579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 312C",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Evelyn Byrd Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013487",
            "country_code": "US",
            "telephone_number": "540-564-5800",
            "fax_number": "833-376-9008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4062 W Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496848965",
            "country_code": "US",
            "telephone_number": "231-935-0338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10120 Lefferts Blvd",
            "address_2": "Richmond Hill",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114192006",
            "country_code": "US",
            "telephone_number": "734-666-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-WAILI",
        "first_name": "NOORI",
        "credential": "M.D,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "269850",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301505722",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101262393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalwaili312535@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16000 Johnston Memorial Dr Ste 312C",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242117664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.