Organization Active NPI

Liaqat Ali, MD PA

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1538475694
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0047405 Issued in MD
Legal business name
LIAQAT ALI, MD PA
Practice address
821 N Eutaw St
103
Baltimore, MD 21201-4648
Phone
(410) 225-8760
Fax
(410) 225-8456
NPI assigned
Aug 27, 2010
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Liaqat Ali, MDNPI 1700857232
Title
MD
Phone
(410) 225-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0047405 MD Primary

Addresses

Primary practice location

821 N Eutaw St
103
Baltimore, MD 21201-4648

Mailing address

821 N Eutaw St
103
Baltimore, MD 21201-4648
Phone (410) 225-8760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101208000439 MD Part B Supplier - Clinic/Group Practice 5799972352 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1538475694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-225-8760",
            "fax_number": "877-795-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-225-8760",
            "fax_number": "410-225-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAQAT ALI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "LIAQAT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-225-8760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0047405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.