Individual provider Active NPI

Zakari Aliyu, MD

  • Hematology & Oncology Physician
  • Baltimore, MD
National Provider Identifier
1679539464
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0059706 Issued in MD
Practice address
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone
(410) 368-3120
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0059706 MD
Hospitalist Physician 208M00000X D0059706 MD
Hematology & Oncology Physician 207RH0003X D0059706 MD Primary

Addresses

Primary practice location

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284

Mailing address

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284

Other practice location 1

900 Caton Avenue
Baltimore, MD 21229
Phone (410) 368-3120

Other identifiers 1

IdentifierTypeStateIssuer
401794300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20230912000236 HI Practitioner - Hematology/Oncology 4880587286 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059706MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Aug 28, 2023 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Emani American Clinical Specialists Hematology & Oncology Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Aug 28, 2023 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

1285 Waianuenue Ave
#2
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Organizations & group practices 5

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1679539464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075284",
            "telephone_number": "410-368-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Caton Avenue",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21229",
            "country_code": "US",
            "telephone_number": "410-368-3120",
            "fax_number": "410-368-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIYU",
        "first_name": "ZAKARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0059706",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0059706",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0059706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401794300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.