Active NPI
Syed Asif H Ali, M.D.
- Psychiatry Physician
- Silver Spring, MD
National Provider Identifier
1831284769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0063945
- Practice address
- 11219 Lockwood Dr
Silver Spring, MD 20901-4550 - Phone
- (301) 557-9638
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | D0063945 | MD | |
| Addiction Psychiatry Physician | 2084P0802X | D0063945 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0063945 | MD | |
| Psychiatry Physician | 2084P0800X | D0063945 | MD | Primary |
Addresses
Primary practice location
11219 Lockwood Dr
Silver Spring, MD 20901-4550
Mailing address
11219 Lockwood Dr
Silver Spring, MD 20901-4550
Phone (301) 557-9638
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1575125 | Other | AETNA | |
| 600055950 | Other | MAGELLAN | |
| 412396401 | Medicaid | MD | |
| 100110167 | Other | MD | APS HEALTHCARE |
| 270529 | Other | KAISER PERMANENTE | |
| 7265 | Other | DC | BS NCA |
| 2175206 | Other | UNITED BEHAVIORAL HEALTH | |
| 2175206 | Other | MAMSI/MDIPA | |
| 412396400 | Medicaid | MD | |
| 2328877 | Other | CIGNA | |
| 30PRSA | Other | MD | BS MD |
| 584261 | Other | NY | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Care LLC | Current | Accepting new patients | |
| Family Service Foundation, Inc | Current | Accepting new patients | |
| Premier Health Care, LLC | Psychiatry | Current | Accepting new patients |
| Wisconsin Ave Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
| Department of Behavioral Health - St Elizabeths Hospital | Past | Accepting new patients | |
| Interdynamics, Inc. | Psychiatry | Past | Accepting new patients |
| Hilm Medical Center LLC | Psychiatry | Past | Accepting new patients |
Locations
4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600
5301 76th Ave
Landover Hls, MD 20784
Phone (301) 459-2121
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Silver Spring, MD
- NPI 1053713701
-
- Internal Medicine Physician
- Clinton, MD
- NPI 1528538758
-
- Psychiatry Physician
- Landover, MD
- NPI 1952570343
-
- Psychiatric Hospital
- Washington, DC
- NPI 1518165760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1831284769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11219 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014550",
"telephone_number": "301-557-9638",
"fax_number": "301-557-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014550",
"telephone_number": "301-557-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SYED ASIF",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MD",
"license": "D0063945",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MD",
"license": "D0063945",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0063945",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0063945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1575125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600055950",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412396401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "100110167",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "270529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS NCA",
"identifier": "7265",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "2175206",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MDIPA",
"identifier": "2175206",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412396400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2328877",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS MD",
"identifier": "30PRSA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "584261",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.