Organization Active NPI

Nidal Morrar MD LLC

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1922298124
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NIDAL MORRAR MD LLC
Practice address
1604 N McKenzie St
Foley, AL 36535-2248
Phone
(251) 955-1030
Fax
(251) 955-5048
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Nidal Morrar, MDNPI 1952382038
Title
Owner/Physician
Phone
(251) 955-1030

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1604 N McKenzie St
Foley, AL 36535-2248

Mailing address

1604 N McKenzie St
Foley, AL 36535-2248
Phone (251) 955-1030

Other identifiers 1

IdentifierTypeStateIssuer
1922298124MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nidal-morrar@nidalmorrarmd.e-mdsdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000102 AL Part B Supplier - Clinic/Group Practice 9537191424 Receives reassigned benefits from 3 practitioners
Practice locations: Foley, AL

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
01D0998748Nidal Morrar MD LLC1604 N McKenzie St, Foley, AL 36535Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: nidal-morrar@nidalmorrarmd.e-mdsdirect.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1922298124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-955-1030",
            "fax_number": "251-955-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-955-1030",
            "fax_number": "251-955-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAL MORRAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MORRAR",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "251-955-1030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922298124",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nidal-morrar@nidalmorrarmd.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice Direct email address",
            "address_1": "1604 N McKenzie St",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365352248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.