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DR. OMAR HANI ELSAYED-ALI MD NPI 1174064596


NPI Information

NPI: 1174064596
Provider Name: DR. OMAR HANI ELSAYED-ALI, MD
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
10 BARNES WEST DR
DIV IM ALLERGY AND IMMUNOLOGY, STE 200
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-8670
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DR. Omar Hani Elsayed-ali, MD is an allergy and immunology internal medicine in Saint Louis, MO with 7 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Omar Hani Elsayed-ali, MD NPI is 1174064596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

10 BARNES WEST DR
DIV IM ALLERGY AND IMMUNOLOGY, STE 200
SAINT LOUIS, MO
ZIP 63141-287
Phone: (314) 996-8670
Fax: (314) 996-3195

The NPI 1174064596 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2019034401MISSOURINo
2208000000XPediatrics2019034401MISSOURINo
32080P0204XPediatricsPediatric Emergency Medicine2019034401MISSOURINo
4207RA0201XInternal MedicineAllergy & Immunology2019034401MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200084426MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.