ALI ETEMADY-DEYLAMY – Infectious Disease Physician, NPI 1760864888

ALI ETEMADY-DEYLAMY is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold a License No. 5101021789 (MI). The NPI Number for ALI ETEMADY-DEYLAMY is 1760864888

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ALI ETEMADY-DEYLAMY
NPI
1760864888
Phone
(314) 525-1328
Address
10010 KENNERLY RD
Enumeration Date
25 June 2015
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369250900
Graduation Year
2015 (11 years ago)
PAC ID
4486946076
Group Practice PAC ID
6305880956
Professional Enrollment ID
I20190326001069
Address ID
MO631280000ST330XXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:10State licenses:3Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for ALI ETEMADY-DEYLAMY

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 63128

    Phone: (314) 525-1328

    Type: Location

  • 1900 Columbus Ave

    Bay City, MI 487086831

    Phone: (989) 894-3950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190326001069IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes521183$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes270131$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes173160$0
99214Established patient office or other outpatient visit, 30-39 minutes3118$0
99213Established patient office or other outpatient visit, 20-29 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305880956View full group profile
NameSpecialtyState
Infectious Disease, Internal Medicine, Pediatric MedicineMO
Infectious DiseaseMO
Infectious Disease, Internal MedicineMO
Infectious Disease, Internal MedicineMO
Internal Medicine, Infectious DiseaseMO
Infectious DiseaseCT
Infectious Disease, Internal MedicineIL
Infectious Disease, Internal MedicineMO

Reviews

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Frequently asked questions

How do I look up ALI ETEMADY-DEYLAMY by NPI?
Use NPI 1760864888 when you need to reference ALI ETEMADY-DEYLAMY in forms, claims, or directories.
Is ALI ETEMADY-DEYLAMY active in the national directory?
ALI ETEMADY-DEYLAMY's public NPI profile is in an active state.
What does ALI ETEMADY-DEYLAMY treat or focus on?
Patients typically see ALI ETEMADY-DEYLAMY under the specialty Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where is ALI ETEMADY-DEYLAMY's primary listing?
We display Saint Louis, Missouri because that is what the record indicates for ALI ETEMADY-DEYLAMY.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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