NPIMap

Individual provider Active NPI

Ali Abdulrazzaq a Alalwan, MD

  • Family Medicine Physician
  • Seaman, OH
National Provider Identifier
1346878238
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.146200 Issued in OH
Practice address
230 Medical Center Dr
Seaman, OH 45679-8002
Phone
(937) 386-3400
Fax
(806) 351-3765
NPI assigned
Mar 28, 2020
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.146200 OH Primary

Addresses

Primary practice location

230 Medical Center Dr
Seaman, OH 45679-8002

Mailing address

1400 S Coulter St Ste 5100
Amarillo, TX 79106-1786
Phone (806) 414-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616000167 OH Practitioner - Family Practice 2365868924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 State Route 41
West Union, OH 45693-8806
Phone (937) 544-0400

4881 State Route 125
Georgetown, OH 45121-9550
Phone (937) 378-3075

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center Current Accepting new patients
Adams County Regional Medical Center Past Accepting new patients

Locations

4881 State Route 125
Georgetown, OH 45121
Phone (937) 378-2526

217 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 346-8826

154 Elliott Ave
Peebles, OH 45660
Phone (937) 386-6937

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Interoperability endpoints

  • Direct secure messaging: aalalwan290320@ahs.direct-ci.com
  • Direct secure messaging: ali.alalwan.1@18549.direct.athenahealth.com

Organizations & group practices 4

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1346878238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST STE 5100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9559",
            "fax_number": "806-351-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MEDICAL CENTER DR",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456798002",
            "telephone_number": "937-386-3400",
            "fax_number": "806-351-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALALWAN",
        "first_name": "ALI",
        "middle_name": "ABDULRAZZAQ A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.146200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaman, OH

Sources for this page

Verify at the official NPI Registry.