ERMAL ALIU M.D
NPI 1497152904
Pediatrics in Hershey, PA
About Ermal Aliu M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERMAL ALIU M.D (NPI 1497152904) is an individual pediatrics provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD461303) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ermal Aliu M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ermal Aliu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Ermal Aliu's NPI number?
The NPI number for Ermal Aliu is 1497152904. It was assigned to this individual provider in the NPPES registry on November 26, 2014.
Where is Ermal Aliu located?
Ermal Aliu practices at 500 University Drive, Hershey, PA 17033. The listed phone number is (800) 243-1455.
What is Ermal Aliu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ermal Aliu enrolled in Medicare?
Yes. Ermal Aliu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ermal Aliu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ermal Aliu reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Duke Health Integrated Practice, Inc (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ermal Aliu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ermal Aliu accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Ermal Aliu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ermal Aliu affiliated with any hospitals?
According to CMS data, Ermal Aliu is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for Ermal Aliu was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ermal Aliu, M.D · NPI 1497152904
Pediatrics physician in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 26, 2014.
## Identity
- **NPI:** 1497152904 (Entity type: Individual)
- **Enumerated:** November 26, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD461303 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 UNIVERSITY DRIVE, Hershey, PA 17033-0858
- **Phone:** (800) 243-1455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Duke University Health System, Inc. (NPI 1962721308, Durham, NC); Duke Health Integrated Practice, Inc (NPI 1518725936, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497152904) · Data from the CMS NPPES public registry.