Organization Active NPI

Ali Safayan MD PC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1851665962
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18533 Issued in DC
Legal business name
ALI SAFAYAN MD PC
Practice address
4801 Wisconsin Ave NW
Restorative Health
Washington, DC 20016
Phone
(202) 244-6661
Fax
(202) 244-1340
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Ali Safayan, M.D.NPI 1962595900
Title
President of Corporation
Phone
(202) 244-6661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD18533 DC Primary

Addresses

Primary practice location

4801 Wisconsin Ave NW
Restorative Health
Washington, DC 20016

Mailing address

4801 Wisconsin Ave NW
Restorative Health
Washington, DC 20016
Phone (202) 244-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000348 DC Part B Supplier - Clinic/Group Practice 9830351667 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D0974751Ali Safayan, MD, PC4801 Wisconsin Avenue, NW #5, Washington, DC 20016Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

4801 Wisconsin Ave NW
Ste 5
Washington, DC 20016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1851665962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WISCONSIN AVE NW",
            "address_2": "RESTORATIVE HEALTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-244-6661",
            "fax_number": "202-244-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WISCONSIN AVE NW",
            "address_2": "RESTORATIVE HEALTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-244-6661",
            "fax_number": "202-244-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI SAFAYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "SAFAYAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "202-244-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD18533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.