Individual provider Active NPI

Alaleh Ebrahimi, DO

  • Emergency Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1952893083
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS021272 Issued in PA
Practice address
575 N River St
Wilkes Barre, PA 18702-2634
Phone
(570) 829-8111
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS021272 PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18702-2634

Mailing address

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 829-8111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aebrahimi513601@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210707001542 PA Practitioner - Emergency Medicine 3577965029 Reassigns benefits to 4 organizations
I20240220004811 NJ Practitioner - Emergency Medicine 3577965029 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians
Upmc Bedford MemorialGroup PAC ID 6103811971, 23 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9619
Phone (856) 247-3000

10455 Lincoln Hwy
Everett, PA 15537-7046
Phone (814) 623-3550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Upmc Bedford Memorial Emergency Medicine CurrentSince Mar 6, 2024 Accepting new patients
Upmc Altoona CurrentSince Feb 1, 2024 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Upmc Bedford Memorial CurrentSince Mar 6, 2024 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Upmc Altoona CurrentSince Feb 1, 2024 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

65 James St
Edison, NJ 08820
Phone (732) 321-7010

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Interoperability endpoints

  • Direct secure messaging: aebrahimi513601@upmc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1952893083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022634",
            "telephone_number": "570-829-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022634",
            "telephone_number": "570-829-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "ALALEH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS021272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aebrahimi513601@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.