Individual provider Active NPI

Sheera Alyesh, PA-C

  • Medical Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1730816190
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C08553 Issued in MD
Practice address
9199 Reisterstown Rd Ste 101B
Owings Mills, MD 21117-4513
Phone
(443) 898-8160
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C08553 MD Primary

Addresses

Primary practice location

9199 Reisterstown Rd Ste 101B
Owings Mills, MD 21117-4513

Mailing address

2809 Laurelwood CT
Baltimore, MD 21209-1413
Phone (310) 770-3542

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123001112 MD Practitioner - Physician Assistant 4981072998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C08553MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Prevention and Stroke Rehab Physician, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

9199 Reisterstown Rd
Ste 101B
Owings Mills, MD 21117
Phone (443) 543-6773

Interoperability endpoints

  • Direct secure messaging: sheera.alyesh.1@24618.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1730816190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 LAURELWOOD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091413",
            "telephone_number": "310-770-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 101B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "443-898-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYESH",
        "first_name": "SHEERA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C08553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.