Individual provider Active NPI

Preetha Ali, M.D.

  • Colon & Rectal Surgery Physician
  • Washington, DC
National Provider Identifier
1346404902
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD210002850 Issued in DC
Practice address
106 Irving St NW Ste 2100N
Washington, DC 20010-2927
Phone
(202) 877-8484
Fax
(202) 877-8483
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME148704 FL
Colon & Rectal Surgery Physician 208C00000X D0084106 MD
Colon & Rectal Surgery Physician 208C00000X MD210002850 DC Primary

Addresses

Primary practice location

106 Irving St NW Ste 2100N
Washington, DC 20010-2927

Mailing address

106 Irving St NW Ste 2100N
Washington, DC 20010-2927
Phone (202) 877-8484

Other practice location 1

1223 Gateway Dr # 2A
Melbourne, FL 32901-2607
Phone (321) 312-3476

Other practice location 2

1035 116th Ave NE
Colon & Rectal Surgery
Bellevue, WA 98004-4604
Phone (425) 688-5000

Other practice location 3

602 S Atwood Rd Ste 205
Bel Air, MD 21014-4329
Phone (410) 803-2211

Other identifiers 1

IdentifierTypeStateIssuer
109619400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20220622002595 MD Practitioner - Colorectal Surgery (Proctology) 9931329372
I20221114000010 DC Practitioner - Colorectal Surgery (Proctology) 9931329372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

106 Irving St NW 4200
MMG at WHC
Washington, DC 20010-2979
Phone (202) 877-2200

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Colon & Rectal Clinic, PA Colon & Rectal Surgery CurrentSince Jun 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 2, 2022 Accepting new patients
Washington Hospital Center Corporation Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

Locations

1133 21st St NW
Fl 10
Washington, DC 20036

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

106 Irving St NW
Ste 4200
Washington, DC 20010
Phone (202) 877-2200

602 S Atwood Rd
Ste 205
Bel Air, MD 21014
Phone (410) 588-5681

12158 Central Ave
Mitchellville, MD 20721
Phone (301) 390-3076

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

Organizations & group practices 7

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 3

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1346404902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 2100N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-8484",
            "fax_number": "202-877-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 2100N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-8484",
            "fax_number": "202-877-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr # 2A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-312-3476",
            "fax_number": "321-951-3124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 116th Ave NE",
            "address_2": "Colon & Rectal Surgery",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "425-688-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 S Atwood Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144329",
            "country_code": "US",
            "telephone_number": "410-803-2211",
            "fax_number": "410-420-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "PREETHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME148704",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D0084106",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "DC",
            "license": "MD210002850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109619400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.