Individual provider Active NPI

Nabilah Fairuz Lari, M.D.

  • Emergency Medicine Physician
  • Huntsville, AL
National Provider Identifier
1568816205
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38202 Issued in AL
Practice address
100 Washington St NE Ste 102
Huntsville, AL 35801-5052
Phone
(856) 676-3995
NPI assigned
Apr 19, 2016
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38202 AL Primary
Family Medicine Physician 207Q00000X 58435 TN

Addresses

Primary practice location

100 Washington St NE Ste 102
Huntsville, AL 35801-5052

Mailing address

604 Ridgegate PL
Huntsville, AL 35801-1956
Phone (856) 676-3995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190923003082 AL Practitioner - Family Practice 2365772068 Reassigns benefits to 5 organizations
I20200819002802 FL Practitioner - Emergency Medicine 2365772068 Reassigns benefits to 4 organizations
I20231101000710 OK Practitioner - Emergency Medicine 2365772068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
W Florida Hospital
Pensacola, FL 32514-6088
Phone (850) 494-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38202ALMDEmergency Medicine Physician
58435TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Alabama PLLC Emergency Medicine CurrentSince Jun 9, 2024 Accepting new patients
American Family Care, LLC General Practice CurrentSince Jan 7, 2020 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Jul 30, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Afc Florida, LLC Family Medicine CurrentSince Mar 24, 2023 Accepting new patients
Oklahoma Emergency Partners LLC Emergency Medicine CurrentSince Sep 17, 2023 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 7, 2020 Accepting new patients
Ess of Luverne LLC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Jul 30, 2019 Accepting new patients
American Family Care, LLC General Practice Current Accepting new patients
W4P LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Santa Rosa HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: nlari296127@direct.tgh.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1568816205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 RIDGEGATE PL",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011956",
            "telephone_number": "856-676-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST NE STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015052",
            "telephone_number": "856-676-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARI",
        "first_name": "NABILAH",
        "middle_name": "FAIRUZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "38202",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "58435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.