Individual provider Active NPI

Alia Lepere, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1871933598
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301103733 Issued in MI
Practice address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone
(404) 778-6920
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6774 GA
Internal Medicine Physician 207R00000X 4301103733 MI Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Mailing address

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220210002693 IL Practitioner - Family Practice 9739483611 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6774GAMDFamily Medicine Physician
4301103733MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Family Medicine CurrentSince Nov 6, 2021 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Cook County Current Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cook County CurrentSince Nov 6, 2021 Accepting new patients
S4 Smart Family Care LLC Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Jan 31, 2022 Accepting new patients

Locations

2840 Ne
Ste 116
Atlanta, GA 30345
Phone (404) 201-0125

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Chicago, IL 60675

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1871933598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPERE",
        "first_name": "ALIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "6774",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.