Individual provider Active NPI

Shahenda Samir Aly, M.D

  • Student in an Organized Health Care Education/Training Program
  • Morgantown, WV
National Provider Identifier
1982993747
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
West Virginia University Hospitals School of Medicine
Dept of Pediatrics Robert C Byrd Health Science Center
Morgantown, WV 26506-9214
Phone
(304) 293-4451
Fax
(304) 293-4341
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

West Virginia University Hospitals School of Medicine
Dept of Pediatrics Robert C Byrd Health Science Center
Morgantown, WV 26506-9214

Mailing address

PO Box 9214
Robert C. Byrd Health Sciences Center - Dept of Peds
Morgantown, WV 26506-9214
Phone (304) 293-4451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150309001557 MA Practitioner - Pediatric Medicine 4183940281 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Pediatric Associates Inc CurrentSince Feb 1, 2015 Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
  • Direct secure messaging: saly28494@tuftsmedicine.direct-ci.com
  • Direct secure messaging: shahenda.aly@direct.signature.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1982993747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9214",
            "address_2": "ROBERT C. BYRD HEALTH SCIENCES CENTER - DEPT OF PEDS",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069214",
            "telephone_number": "304-293-4451",
            "fax_number": "304-293-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST VIRGINIA UNIVERSITY HOSPITALS SCHOOL OF MEDICINE",
            "address_2": "DEPT OF PEDIATRICS ROBERT C BYRD HEALTH SCIENCE CENTER",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069214",
            "telephone_number": "304-293-4451",
            "fax_number": "304-293-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALY",
        "first_name": "SHAHENDA",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.