Individual provider Active NPI

Alif Manejwala, MD

  • Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1679681902
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D29748 Issued in MD
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

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
275781800MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000422 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 7012056880 Reassigns benefits to 1 organization
Practice locations: Glen Burnie, MD

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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 100Reported as individual
Quality
100
Improvement activities
40
Cost
70.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Digestive Center CurrentSince Nov 21, 2011 Accepting new patients
Dr.Alif Manejwala PastSince Jan 1, 1990 Accepting new patients

Locations

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.