Individual provider Active NPI

Aly Mostafa Sabet, MD

  • Gastroenterology Physician
  • Ft Washington, MD
National Provider Identifier
1598835860
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0021833 Issued in MD
Practice address
Ste 209 11701 Livingston Rd
Ft Washington, MD 20744-5136
Phone
(301) 292-3113
Fax
(301) 292-0159
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0021833 MD Primary
Gastroenterology Physician 207RG0100X MD11219 DC

Addresses

Primary practice location

Ste 209 11701 Livingston Rd
Ft Washington, MD 20744-5136

Mailing address

Ste # 209 11701 Livingston Rd S# 209
Ft Washington, MD 20744-5136
Phone (301) 292-3113

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
I20080821000536 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 9537234760 Practice locations: Fort Washington, MD

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11701 Livingston Rd
Fort Washington, MD 20744-5136
Phone (301) 292-3113

Hospital & facility affiliations

  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11219DCMDGastroenterology Physician
D0021833MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obiora M. Ogbuawa, MDPC 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.

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1598835860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE # 209 11701 LIVINGSTON RD S# 209",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445136",
            "telephone_number": "301-292-3113",
            "fax_number": "301-292-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE 209 11701 LIVINGSTON RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445136",
            "telephone_number": "301-292-3113",
            "fax_number": "301-292-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABET",
        "first_name": "ALY",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0021833",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD11219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, MD

Sources for this page

Verify at the official NPI Registry.