Active NPI
Ali Medical LLC
- Gastroenterology Physician
- Lake St Louis, MO
National Provider Identifier
1700152048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ALI MEDICAL LLC
- Practice address
- 300 Medical PLZ Ste 100
Lake St Louis, MO 63367-1484 - Phone
- (630) 952-1412
- NPI assigned
- Mar 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Qaiser Jawaid, M.D
- Title
- Member
- Phone
- (630) 952-1412
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
300 Medical PLZ Ste 100
Lake St Louis, MO 63367-1484
Mailing address
300 Medical PLZ Ste 100
Lake St Louis, MO 63367-1484
Phone (630) 952-1412
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- O Fallon, MO
- NPI 1437110681
-
- Rheumatology Physician
- Lake Saint Louis, MO
- NPI 1255583407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1700152048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ STE 100",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671484",
"telephone_number": "630-952-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ STE 100",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671484",
"telephone_number": "630-952-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "JAWAID",
"authorized_official_first_name": "QAISER",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "630-952-1412",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.