Individual provider Active NPI

Syed Asif H Ali, M.D.

  • Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1831284769
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0063945 Issued in MD
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

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1575125OtherAETNA
600055950OtherMAGELLAN
412396401MedicaidMD
100110167OtherMDAPS HEALTHCARE
270529OtherKAISER PERMANENTE
7265OtherDCBS NCA
2175206OtherUNITED BEHAVIORAL HEALTH
2175206OtherMAMSI/MDIPA
412396400MedicaidMD
2328877OtherCIGNA
30PRSAOtherMDBS MD
584261OtherNYVALUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001263 DC Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 6406897503 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care LLC CurrentSince Jan 1, 2016 Accepting new patients
Family Service Foundation, Inc CurrentSince Sep 25, 2010 Accepting new patients
Premier Health Care, LLC Psychiatry CurrentSince Jan 1, 2016 Accepting new patients
Wisconsin Ave Psychiatric Center Inc Psychiatry CurrentSince Apr 1, 2013 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 PastSince Sep 29, 2024 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.

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

Verify at the official NPI Registry.