Elias Emile Ayli, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

201702073 Issued in NC

Practice address

11640 Northpark Dr Ste 200
Wake Forest, NC 27587-5741

Phone

(919) 436-4124

Fax

(919) 439-9645

NPI assigned

Jul 2, 2008

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Dermatology

Education

Philadelphia College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Skin Cancer Center, PAGroup PAC ID 0244573319, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as individual

Quality

92.22

Promoting interoperability

100

Improvement activities

40

Cost

95.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Wake Skin Cancer Center, PA

  • MOHS-Micrographic Surgery Physician
  • Wake Forest, NC
  • NPI 1497211189
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth L Klein, MD

  • Dermatology Physician
  • New Bern, NC
  • NPI 1174507990
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1376706101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395996",
            "telephone_number": "770-951-8427",
            "fax_number": "770-951-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 NORTHPARK DR STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875741",
            "telephone_number": "919-436-4124",
            "fax_number": "919-439-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Capcom Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275876531",
            "country_code": "US",
            "telephone_number": "919-436-4124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYLI",
        "first_name": "ELIAS",
        "middle_name": "EMILE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2017-02073",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "201702073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2017-02073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• At Home Senior Services (HomeChoice Healthcare)
• Athena Counseling and Wellness, PLLC
• Mervat Attala
• Caitlin Elise Austin
• Christina Ayers-Klose, LCAS-A
• B & D Integrated Health Services
• Back to Active Chiropractic Clinic
• Anne Davison Baden, PHD
• Irina Baechle, LCSW
• Kristen Hadley Baez, LCMHC-A, MT-BC

• MOHS-Micrographic Surgery Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.