Nicole M Alu, DO
Individual provider Active NPI Family Medicine Physician · Salisbury, MD
NPI 1992779136 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1992779136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H78783 (MD)
- Practice address
- 145 E Carroll St
Salisbury, MD 21801 - Phone
- (410) 912-5785
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tidalhealth Primary Care LLC
Practice addresses (Care Compare)
400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240
Hospital & facility affiliations
- Tidalhealth Home Care
- Homecall
- Tidalhealth Peninsula Regional, Inc
- Tidalhealth Nanticoke, Inc.
- Atlantic General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150610002302 | MD | Practitioner - Family Practice | 1951369644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0008846 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | Family Medicine | Current |
Accepting new patients |
Locations
30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
1315 S Division St
Salisbury, MD 21804
Phone (410) 677-4949
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
560 Riverside Dr
Ste B204
Salisbury, MD 21801
Phone (410) 543-7720
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0008846 | DE | |
| Family Medicine Physician | 207Q00000X | H78783 | MD | Yes |
Addresses
Primary practice location
145 E Carroll St
Salisbury, MD 21801
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (800) 749-5191
Other names
- Nicole M Alu
Other providers in Salisbury, MD
- Kathryn M Allen
- Robert Baker Allen
- Sharon Taylor Allman
- Lucas Allmon
- Diane Linda Alterman
- Jose Eduardo Alvarado
- Sean Jude Alvarado
- Fatima Alvi
- Alyson Hickman Nutrition Counseling, LLC
- Elizabeth Ling Scammell Amadei
All providers in Salisbury, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.