NPIMap

Individual provider Active NPI

Awol Y. Ali, M.D.

  • Infectious Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1720165277
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101237110 Issued in VA
Practice address
1101 Sam Perry Blvd
Fredericksburg, VA 22401-4467
Phone
(540) 374-3277
Fax
(540) 374-3280
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101237110 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4467

Mailing address

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4467
Phone (540) 374-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000476 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3173626884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

101 Hospital Ctr Blvd
Stafford, VA 22554-6200
Phone (540) 741-9299

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Infectious Disease CurrentSince Jan 1, 2009 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medidoctors Primary Care LLC Infectious Disease Past Accepting new patients

Locations

1101 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 368-5350

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

2300 Fall Hill Ave
Ste 509
Fredericksburg, VA 22401

1101 Sam Perry Blvd
Ste 307
Fredericksburg, VA 22401
Phone (540) 374-3277

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290

Interoperability endpoints

  • Direct secure messaging: aali12021@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1720165277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3277",
            "fax_number": "540-374-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3277",
            "fax_number": "540-374-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AWOL",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101237110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.