LINA ZIAD KHALI AL-BAWALIZ
NPI 1104662543
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since July 05, 2024PECOS Enrolled
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(263) 060-3086 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Jul 5, 2024 (2 updates tracked since 2024).

About Lina Ziad Khali Al-bawaliz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINA ZIAD KHALI AL-BAWALIZ (NPI 1104662543) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14175) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104662543
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLINA ZIAD KHALI AL-BAWALIZ
Location Address263 FARMINGTON AVENUEFarmington, CT 06030
Mailing Address263 Farmington AveFarmington, CT 06030-0001 · (860) 679-2000
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1104662543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 14175
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVENUE, Farmington, CT 06030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lina Ziad Khali Al-bawaliz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lina Al-bawaliz's NPI number?

The NPI number for Lina Al-bawaliz is 1104662543. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Lina Al-bawaliz located?

Lina Al-bawaliz practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (263) 060-3086.

What is Lina Al-bawaliz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lina Al-bawaliz enrolled in Medicare?

Yes. Lina Al-bawaliz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lina Al-bawaliz was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.