Farah Alli, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Cambridge, MD
NPI 1295022887 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1295022887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- D0082514 (MD)
- Practice address
- 505 Byrn St
Cambridge, MD 21613-1911 - Phone
- (410) 221-7770
- Fax
- (410) 221-7863
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170706001770 | MD | Practitioner - Endocrinology |
9133498181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0082514 | MD | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
Interoperability endpoints
- falli110127@direct.aahs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | D0082514 | MD | Yes |
Addresses
Primary practice location
505 Byrn St
Cambridge, MD 21613-1911
Mailing address
505 Byrn St
Cambridge, MD 21613-1911
Phone (410) 221-7770
Other practice location 1
800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600
Other providers in Cambridge, MD
- Affiliated Sante Group
- Agnprx LLC
- Mahbuba Akhter
- Tumouh Talib Al-Allaq
- Allan a Anderson MD LLC
- Andres Manuel Alvarez Deal
- Sohail Aman
- Amana Healthcare LLC
- Amedisys Maryland LLC
- Amedisys Maryland LLC
All providers in Cambridge, MD · Endocrinology, Diabetes & Metabolism Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.