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DR. ALIYI ADAM ALIYI M.D.
NPI 1558700468
Family Medicine in Hendersonville, NC

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 694-7687(828) 694-7638 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Aug 3, 2017, Jul 7, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Aliyi Adam Aliyi M.d. NPPES

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

DR. ALIYI ADAM ALIYI M.D. (NPI 1558700468) is an individual family medicine provider in Hendersonville, North Carolina, licensed in North Carolina (2016-01632) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1558700468
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALIYI ADAM ALIYICredential: M.D.
Location Address800 N JUSTICE STHendersonville, NC 28791-3410
Mailing Address1120 15th StAugusta, GA 30912-0004
Phone(828) 694-7687
Fax(828) 694-7638
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2013
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1558700468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2016-01632✔ Licensed in GA · RTP006577
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 N JUSTICE ST, Hendersonville, NC 28791
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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-3052

Other Identifiers 2

OtherP01847904NC · Rr Medicare
OtherNCU730BNC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aliyi Adam Aliyi 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.

PECOS PAC ID6507167822
PECOS Enrollment IDI20260204000866
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
335 services157 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
175 services102 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services143 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%277 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$62.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BARTLETT DAVID STEEN MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
ANNA QUINN HARRELSON MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
MARTIN S. LEMYRE MD
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
JOHN M THERIOT CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
EDWARD ALAN LEWIS MD
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
JEFFREY WAYNE YOUNGER CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
PATHS OUTPATIENT SERVICES
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Henderson County (828) 696-4545
PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000

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 Aliyi Aliyi's NPI number?

The NPI number for Aliyi Aliyi is 1558700468. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Aliyi Aliyi located?

Aliyi Aliyi practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 694-7687.

What is Aliyi Aliyi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aliyi Aliyi enrolled in Medicare?

Yes. Aliyi Aliyi 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.

What insurance does Aliyi Aliyi accept?

Health plans from Oscar Insurance Company list Aliyi Aliyi 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 Aliyi Aliyi affiliated with any hospitals?

According to CMS data, Aliyi Aliyi is affiliated with Ascension St John Jane Phillips, Ascension St John Medical Center and Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Aliyi Aliyi was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.