Alignmed Medical Group Il SC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ALIGNMED MEDICAL GROUP IL SC

Practice address

833 16TH Ave
Moline, IL 61265-3808

Phone

(309) 764-6744

NPI assigned

Aug 13, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Emrey

Title

Director of Provider Operations

Phone

(443) 350-1466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reetu Priya, NP

  • Nurse Practitioner
  • Rock Island, IL
  • NPI 1508407461
  Medicare reassignment NPD
• Michelle Lynn Schultz, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1629572649

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1912738600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62946",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 16TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653808",
            "telephone_number": "309-764-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGNMED MEDICAL GROUP IL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "EMREY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER OPERATIONS",
        "authorized_official_telephone_number": "443-350-1466"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameena Ahmed, MD
• Kishore Venkata Alapati, MD
• Matthew Albert, DPT
• Amanda Alejandria, PHARMD
• Align Medical Inc (Align Chiropractic Inc)
• Himabindu Alla, MD
• Nandita Alla, MD
• Rajesh Alla, M.D.
• Suresh Alla, M.D.
• Venkateswararao Alla, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Moline, IL
• Providers in Moline, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.