Individual provider Active NPI

Rubab Ali

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1992231914
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT212815 Issued in PA
Practice address
821 N Eutaw St Ste 103
Baltimore, MD 21201-6305
Phone
(410) 225-8760
Fax
(410) 472-5537
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT212815 PA Primary

Addresses

Primary practice location

821 N Eutaw St Ste 103
Baltimore, MD 21201-6305

Mailing address

821 N Eutaw St Ste 103
Baltimore, MD 21201-6305
Phone (410) 225-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20211118000552 MD Practitioner - Internal Medicine 3173912839 Reassigns benefits to 2 organizations
I20260428000023 DC Practitioner - Internal Medicine 3173912839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-5070

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT212815PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liaqat Ali, MD PA Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
St Agnes Healthcare Inc CurrentSince Oct 17, 2024 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Oct 17, 2024 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

821 N Eutaw St
Ste 103
Baltimore, MD 21201
Phone (410) 225-8760

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1992231914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016305",
            "telephone_number": "410-225-8760",
            "fax_number": "410-472-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016305",
            "telephone_number": "410-225-8760",
            "fax_number": "410-472-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "RUBAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.