Individual provider Active NPI

Nayab Ali, MD

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1487643292
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5051 Issued in DC
Practice address
315 8TH St NE
Washington, DC 20002-6107
Phone
(202) 543-8068
Fax
(202) 675-0411
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5051 DC
Cardiovascular Disease Physician 207RC0000X 5051 DC Primary

Addresses

Primary practice location

315 8TH St NE
Washington, DC 20002-6107

Mailing address

10960 Martingale CT
Potomac, MD 20854-1560
Phone (301) 299-9248

Other identifiers 1

IdentifierTypeStateIssuer
011071200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20050111000306 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941258552 Practice locations: Washington, DC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5051DCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Southeast Community Hospital Corp I 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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1487643292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 MARTINGALE CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541560",
            "telephone_number": "301-299-9248",
            "fax_number": "202-675-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 8TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026107",
            "telephone_number": "202-543-8068",
            "fax_number": "202-675-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "NAYAB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "5051",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011071200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.