NPIMap

Individual provider Active NPI

Ali Ipakchi, MD

  • Nephrology Physician
  • Greenbelt, MD
National Provider Identifier
1487618773
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0054718 Issued in MD
Practice address
7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone
(301) 345-0605
Fax
(301) 345-0606
NPI assigned
Apr 13, 2006
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0054718 MD Primary

Addresses

Primary practice location

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770

Mailing address

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Other practice location 1

1127 West St Ste 105
Annapolis, MD 21401-4284
Phone (301) 345-0605

Other identifiers 5

IdentifierTypeStateIssuer
61020607OtherBSMD
LX76CEOtherBSMD
00A613C73OtherMDMEDICARE
863003800MedicaidMD
F4550001OtherBSDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090224000198 DC Practitioner - Nephrology 3779579719 Reassigns benefits to 1 organization
I20130411000280 MD Practitioner - Nephrology 3779579719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maryland Nephrology, LLCGroup PAC ID 1254304413, 6 clinicians

Practice addresses (Care Compare)

1127 W St
Suite 105
Annapolis, MD 21401-3615
Phone (410) 562-9878

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Infectious Disease Associates LLP CurrentSince Mar 1, 2001 Accepting new patients
Central Maryland Nephrology, LLC CurrentSince Mar 1, 2001 Accepting new patients
Centurion Vascular Care LLC PastSince Feb 1, 2020 Accepting new patients
Hospital Physician Services, LLLP Nephrology Past Accepting new patients
Lanham Dialysis Access Center LLC PastSince Jan 2, 2009 Accepting new patients

Locations

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

7331 Hanover Pkwy
Greenbelt, MD 20770

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605

Interoperability endpoints

  • Direct secure messaging: ali.ipakchi@direct.davitaphysiciansolutions.com

Organizations & group practices 5

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 9

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1487618773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 West St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014284",
            "country_code": "US",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPAKCHI",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0054718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "61020607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "LX76CE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00A613C73",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863003800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "F4550001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.