Individual provider Active NPI

Ali Al-Alwan, MD

  • Pulmonary Disease Physician
  • Dover, NH
National Provider Identifier
1235320318
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16058 Issued in NH
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 740-9713
Fax
(603) 740-2447
NPI assigned
Aug 5, 2007
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 16058 NH Primary

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-9713

Other identifiers 2

IdentifierTypeStateIssuer
3086403MedicaidNH
1235320318MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130904000129 NH Practitioner - Pulmonary Disease 4284877630 Reassigns benefits to 1 organization
I20210528000481 ME Practitioner - Pulmonary Disease 4284877630 Reassigns benefits to 1 organization
I20231215001457 ME Practitioner - Critical Care (Intensivists) 4284877630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

789 Central Ave
Level1
Dover, NH 03820-2526
Phone (603) 740-9713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16058NHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 1, 2013 Accepting new patients
York Hospital Pulmonary Disease CurrentSince Jul 1, 2021 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Dec 5, 2023 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Wentworth Douglass Physician Corporation Pulmonary Disease CurrentSince Sep 1, 2013 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Dec 5, 2023 Accepting new patients
Martha's Vineyard Hospital, Inc. Past Accepting new patients

Locations

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4459

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

Interoperability endpoints

  • Direct secure messaging: al-alwan.ali.wdh@direct.partners.masshiway.net

Organizations & group practices 9

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.

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1235320318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-9713",
            "fax_number": "603-740-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-9713",
            "fax_number": "603-740-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ALWAN",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "16058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086403",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235320318",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.