Individual provider Active NPI

Mary Alice Alfano, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Washington, DC
National Provider Identifier
1548294655
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD210002503 Issued in DC
Practice address
3451 Benning Rd NE Ste 200
Washington, DC 20019-1504
Phone
(909) 605-7000
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X D90758 MD
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME109017 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD210002503 DC Primary

Addresses

Primary practice location

3451 Benning Rd NE Ste 200
Washington, DC 20019-1504

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702

Other practice location 1

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone (410) 689-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121002713 MD Practitioner - Geriatric MedicinePractitioner - Hospice/Palliative Care 7911897137 Reassigns benefits to 2 organizations
I20210121002778 DC Practitioner - Hospice/Palliative CarePractitioner - Family Practice 7911897137 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210002503DCMDHospice and Palliative Medicine (Family Medicine) Physician
D90758MDMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilchrist Hospice Care, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Maryland, LLC Hospice and Palliative Medicine Past Accepting new patients
Keystone Medical Services of New York, PC Past Accepting new patients
Niagara Hospitalist, PC Past Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

Organizations & group practices 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1548294655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 BENNING RD NE STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191504",
            "telephone_number": "909-605-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5457 Twin Knolls Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210453263",
            "country_code": "US",
            "telephone_number": "410-689-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFANO",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D90758",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME109017",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "DC",
            "license": "MD210002503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.