Active NPI
Eli Baladad Alegado, MD
- Pulmonary Disease Physician
- Brooklyn, MD
National Provider Identifier
1437224656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D42041
- Practice address
- 4115 Ritchie Highway
Brooklyn, MD 21225 - Phone
- (410) 609-0041
- Fax
- (410) 609-0165
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D42041 | MD | |
| Pulmonary Disease Physician | 207RP1001X | D42041 | MD | Primary |
Addresses
Primary practice location
4115 Ritchie Highway
Brooklyn, MD 21225
Mailing address
4115 Ritchie Highway
Brooklyn, MD 21225
Phone (410) 609-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343921600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D42041 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eli B Alegado M.D. PC | Critical Care Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Baltimore, MD
- NPI 1316188428
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1437224656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 RITCHIE HIGHWAY",
"city": "BROOKLYN",
"state": "MD",
"postal_code": "21225",
"telephone_number": "410-609-0041",
"fax_number": "410-609-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 RITCHIE HIGHWAY",
"city": "BROOKLYN",
"state": "MD",
"postal_code": "21225",
"telephone_number": "410-609-0041",
"fax_number": "410-609-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGADO",
"first_name": "ELI",
"middle_name": "BALADAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D42041",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D42041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343921600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.