Robert M Alaly, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Union City, TN
NPI 1649254459 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1649254459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- R7629 (MO)
- Practice address
- 1201 Bishop St
Union City, TN 38261-5403 - Phone
- (731) 885-2410
- Fax
- (314) 821-1833
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shannon Clinic
Practice addresses (Care Compare)
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511
Hospital & facility affiliations
- Shannon Medical Center
- Heart of Texas Memorial Hospital
- Ballinger Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MO, PA, FL, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000321 | MO | Practitioner - Diagnostic Radiology |
9537054655 | Reassigns benefits to 3 organizations |
| I20170828003669 | PA | Practitioner - Diagnostic Radiology | 9537054655 | Reassigns benefits to 2 organizations |
| I20171002001111 | FL | Practitioner - Diagnostic Radiology | 9537054655 | Reassigns benefits to 1 organization |
| I20220420000434 | TX | Practitioner - Diagnostic Radiology | 9537054655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7629 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles (9 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Radiology of Pennsylvania, LLC | Current |
Accepting new patients | |
| Pemiscot County Memorial Hospital | Current |
Accepting new patients | |
| Pemiscot County Memorial Hospital | Current |
Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Shannon Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| USA Radiology Management Solutions LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Lauderdale Community Hospital LLC | Past | Accepting new patients |
Locations
1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443
17651 Highway B
Boonville, MO 65233
Phone (660) 882-7461
16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
3933 S Broadway
Saint Louis, MO 63118
Phone (314) 865-3333
35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000
1000 Gw Ln
Ste 150
Waynesville, MO 65583
Phone (573) 842-4116
965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
125 Buena Vista Cir
South Hill, VA 23970
Phone (434) 774-2400
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | R7629 | MO | Yes |
Addresses
Primary practice location
1201 Bishop St
Union City, TN 38261-5403
Mailing address
PO Box 3153 Dept 30755
Birmingham, AL 35287-9283
Phone (314) 238-5260
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-4492
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other practice location 3
1000 Gw Ln Ste 150
Waynesville, MO 65583-2339
Phone (573) 842-4116
Other practice location 4
17651 Highway B
Boonville, MO 65233-2839
Phone (314) 238-5260
Other practice location 5
35629 Highway 72
Salem, MO 65560-7217
Phone (573) 729-6626
Other practice location 6
3933 S Broadway
Saint Louis, MO 63118-4601
Phone (314) 865-7000
Other practice location 7
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311
Other practice location 8
125 Buena Vista Cir
South Hill, VA 23970-1431
Phone (434) 447-3151
Other practice location 9
400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410
Other practice location 10
603 S Bishop Ave
Rolla, MO 65401-4314
Phone (573) 426-4411
Other practice location 11
326 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200
Other practice location 12
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5140
Other practice location 13
1801 N Jackson St
Tullahoma, TN 37388-8259
Phone (931) 393-3000
Other practice location 14
301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220
Other practice location 15
965 Shamrock Ln
Corry, PA 16407-9121
Phone (814) 664-4641
Other practice location 16
5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031
Other practice location 17
406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-1851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140376000 | Other | DEPT OF LABOR | |
| 201196136 | Medicaid | MO | |
| 4964V4964 | Other | GHP | |
| P00133934 | Other | TRAVELERS | |
| 431142188OSU | Other | MERCY | |
| 112315 | Other | MO | HEALTHLINK |
| 1600251 | Other | UHC | |
| 1765 | Other | MO | BCBS |
Other providers in Union City, TN
- Jennifer Jane Adams
- Advanced Diagnostic Imaging, PC
- Advanced Orthopedics & Sports Medicine, PLLC
- Advanced Regional Foot Clinic PLLC
- Agilitas USA, Inc.
- Angela Alford
- Align Chiropractic, PLLC
- Holly Allen
- American Homepatient, Inc.
- Elizabeth Powell Anderson
All providers in Union City, TN · Vascular & Interventional Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.