Active NPI
Shahenda Samir Aly, M.D
- Student in an Organized Health Care Education/Training Program
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Current | 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
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
- saly28494@tuftsmedicine.direct-ci.com
- 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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
-
dba Lowell General Hospital
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.