NPIMap

Organization Active NPI

Ali Rheumatology, LLC

  • Rheumatology Physician
  • Lake St Louis, MO
National Provider Identifier
1881915114
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2004017395 Issued in MO
Legal business name
ALI RHEUMATOLOGY, LLC
Practice address
300 Medical PLZ
Suite 100
Lake St Louis, MO 63367-1481
Phone
(636) 625-8300
Fax
(636) 625-8301
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Farhat Shereen, MDNPI 1255583407
Title
President
Phone
(636) 625-8300

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 2004017395 MO Primary

Addresses

Primary practice location

300 Medical PLZ
Suite 100
Lake St Louis, MO 63367-1481

Mailing address

300 Medical PLZ
Suite 100
Lake St Louis, MO 63367-1481

National Provider Directory

National Provider Directory

Locations

300 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 625-8300

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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1881915114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481",
            "telephone_number": "636-625-8300",
            "fax_number": "636-625-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SHEREEN",
        "authorized_official_first_name": "FARHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-625-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2004017395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.