NPIMap

Individual provider Active NPI

Fazle Ali Noor, M.D

  • Nephrology Physician
  • Darby, PA
National Provider Identifier
1487817672
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD433184 Issued in PA
Practice address
1501 Lansdowne Ave Ste 201
Darby, PA 19023-1333
Phone
(610) 534-6230
Fax
(610) 872-5188
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA08558300 NJ
Nephrology Physician 207RN0300X MD433184 PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave Ste 201
Darby, PA 19023-1333

Mailing address

1501 Lansdowne Ave Ste 201
Darby, PA 19023-1333
Phone (610) 534-6230

Other identifiers 1

IdentifierTypeStateIssuer
1023025310002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000866 PA Practitioner - NephrologyPractitioner - Internal Medicine 3375685332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

1501 Lansdowne Ave
Suite 201
Darby, PA 19023-1333
Phone (610) 534-6230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC Nephrology CurrentSince May 1, 2020 Accepting new patients
Nephrology Medical Associates, LTD Nephrology PastSince May 1, 2020 Accepting new patients
Kidney and Hypertension Associates P C Nephrology Past Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

1501 Lansdowne Ave
Ste 201
Darby, PA 19023
Phone (215) 534-6230

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3005
Darby, PA 19023
Phone (610) 237-4122

825 Town Center Dr
Ste 152
Langhorne, PA 19047
Phone (215) 741-3510

Interoperability endpoints

  • Direct secure messaging: fnoor2017863@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: fazle.noor.1@3389.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1487817672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE STE 201",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE STE 201",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6230",
            "fax_number": "610-872-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOR",
        "first_name": "FAZLE",
        "middle_name": "ALI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08558300",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD433184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023025310002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.