Active NPI
Alif Manejwala, MD
- Gastroenterology Physician
- Glen Burnie, MD
National Provider Identifier
1679681902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D29748
- Practice address
- 1307 Crain Hwy S
Glen Burnie, MD 21061-4024 - Phone
- (410) 761-0500
- Fax
- (410) 787-0857
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D29748 | MD | Primary |
Addresses
Primary practice location
1307 Crain Hwy S
Glen Burnie, MD 21061-4024
Mailing address
1307 Crain Hwy S
Glen Burnie, MD 21061-4024
Phone (410) 761-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275781800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1307 Crain Hwy S
Geln Burnie, MD 21061-4024
1307 Crain S Hwy
Glen Burnie, MD 21061-4024
Phone (410) 761-0500
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 70.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 82 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Digestive Center | Current | Accepting new patients | |
| Dr.Alif Manejwala | Past | Accepting new patients |
Locations
8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920
Interoperability endpoints
- amanejwala22761@direct.umm.edu
Organizations & group practices 2
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.
-
- Clinic/Center
- Pasadena, MD
- NPI 1740387257
-
- Clinic/Center
- Glen Burnie, MD
- NPI 1831648716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1679681902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 CRAIN HWY S",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614024",
"telephone_number": "410-761-0500",
"fax_number": "410-787-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 CRAIN HWY S",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614024",
"telephone_number": "410-761-0500",
"fax_number": "410-787-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANEJWALA",
"first_name": "ALIF",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D29748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275781800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.