| Maryyam Ali, MD | |
|
1997 Sloan Pl Ste 17, Maplewood, MN 55117 | |
| (651) 772-6251 | |
| (651) 224-9661 |
| Full Name | Maryyam Ali |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 21 Years |
| Location | 1997 Sloan Pl Ste 17, Maplewood, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518386093 | NPI | - | NPPES |
| 1518386093 | Other | NPI | |
| 62073 | Other | MN | MN MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT205639 (Pennsylvania) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 62073 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Hudson Dialysis | Hudson, WI | Dialysis facility |
| Maplewood Dialysis Of Davita | Maplewood, MN | Dialysis facility |
| Capitol Home Program Of Davita - Pd Unit | Saint paul, MN | Dialysis facility |
| Davita - Larpenteur Ave Dialysis | Saint paul, MN | Dialysis facility |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Associated Nephrology Consultants Pa | 7214004068 | 15 |
| Associated Nephrology Consultants Pa | 7214004068 | 15 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | Associated Nephrology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104976158 PECOS PAC ID: 7214004068 Enrollment ID: O20090827000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryyam Ali, MD 2854 Highway 55 Ste 130, Eagan, MN 55121-1447 Ph: (651) 842-3349 | Maryyam Ali, MD 1997 Sloan Pl Ste 17, Maplewood, MN 55117 Ph: (651) 772-6251 |
Andrzej Petryk, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1580 Beam Ave, Maplewood, MN 55109 Phone: 651-779-7978 Fax: 651-779-7656 | |
Dr. Rahul Koranne, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7800 | |
Sherry A Moriarty, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-779-2500 Fax: 651-770-8834 | |
Endea J Curry, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Madison Therese Brickner, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dr. Thomas Martin Hauth, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dominic Jamil Haddad, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 |