Adya Amina Ali

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Atlantis, FL

NPI 1215796396 · NPPES record last updated Mar 20, 2024

Key facts

NPI
1215796396
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone
(561) 772-6578
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240614000032 FL Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
9830632207

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: adya.ali@hca4.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1149

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 772-6578

Other providers in Atlantis, FL

All providers in Atlantis, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.