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NPI · 1679889042 · NPPES-sourced

Dr. Lara Al-Ejeilat MD

ActivePediatrics
NPI Number
1679889042
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(763) 898-1000
License MN · 56470
Last Updated
About 12 years ago (Dec 2013)
Enumerated 2010-08-24
Primary practice addressMN · 55369-4730
14500 99th Ave NMaple Grove, MN 55369-4730
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About this NPIWhat this record shows.

NPI 1679889042 is registered to Dr. Lara Al-Ejeilat MD, a Pediatrics practising at 14500 99th Ave N in Maple Grove, Minnesota. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Dr. Lara Al-Ejeilat MD has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2010-08-24
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Lara Al-Ejeilat MD accepts. To confirm in-network status with your specific health plan, contact Dr. Lara Al-Ejeilat MD directly at (763) 898-1000.

Frequently asked

Yes. NPI 1679889042 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (763) 898-1000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Lara Al-Ejeilat MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated2013-12
Enumerated2010-08-24
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Pediatrics providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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