Active NPI
Alice C Noori, MD
- Pediatrics Physician
- Fredericksburg, VA
National Provider Identifier
1730155268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101242280
- Practice address
- 4552 Empire CT
PL Physicians, Inc.
Fredericksburg, VA 22408-1939 - Phone
- (540) 361-4779
- Fax
- (540) 604-9893
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 014032 | ME | |
| Pediatrics Physician | 208000000X | 0101242280 | VA | Primary |
Addresses
Primary practice location
4552 Empire CT
PL Physicians, Inc.
Fredericksburg, VA 22408-1939
Mailing address
4552 Empire CT
PL Physicians, Inc.
Fredericksburg, VA 22408-1939
Phone (540) 361-4779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730155268 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014032 | ME | MD | Pediatrics Physician |
| 0101242280 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1730155268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4552 EMPIRE CT",
"address_2": "PL PHYSICIANS, INC.",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224081939",
"telephone_number": "540-361-4779",
"fax_number": "540-604-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4552 EMPIRE CT",
"address_2": "PL PHYSICIANS, INC.",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224081939",
"telephone_number": "540-361-4779",
"fax_number": "540-604-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORI",
"first_name": "ALICE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "014032",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101242280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730155268",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.