Individual provider Active NPI

Siham Fouzi a Alsomali

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1609642206
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
432895 Issued in NY
Practice address
5120 Chester Ave Apt C
Philadelphia, PA 19143-4381
Phone
(267) 271-5722
NPI assigned
Nov 27, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 432895 NY Primary
Emergency Registered Nurse 163WE0003X RN751361 PA

Addresses

Primary practice location

5120 Chester Ave Apt C
Philadelphia, PA 19143-4381

Mailing address

5120 Chester Ave Apt C
Philadelphia, PA 19143-4381
Phone (267) 271-5722

Other practice location 1

462 1st Ave
New York, NY 10016-9196
Phone (267) 271-5722

Other names 1

  • Siham Fouzi a Alsomali Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217000141 NY Order and Referring Only - Nurse Practitioner 2365979259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN751361PAMDEmergency Registered Nurse

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1609642206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 CHESTER AVE APT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434381",
            "telephone_number": "267-271-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CHESTER AVE APT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434381",
            "telephone_number": "267-271-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100169196",
            "country_code": "US",
            "telephone_number": "267-271-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSOMALI",
        "first_name": "SIHAM",
        "middle_name": "FOUZI A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "432895",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "RN751361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIHAM FOUZI A",
            "last_name": "ALSOMALI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.