Individual provider Active NPI

Eli Baladad Alegado, MD

  • Pulmonary Disease Physician
  • Brooklyn, MD
National Provider Identifier
1437224656
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D42041 Issued in MD
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

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
343921600MedicaidMD

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

LicenseStateTypeSpecialty
D42041MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.