Lara Al-Ejeilat, MD
NPI 1679889042 · Pediatrics Physician · Maple Grove, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lara Al-Ejeilat, MD is a Pediatrics Physician provider in Maple Grove, MN (NPI 1679889042).
Provider details
- NPI number
- 1679889042
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 56470 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2013-12-05
Frequently asked questions
- What is Lara Al-Ejeilat's NPI number?
- Lara Al-Ejeilat's National Provider Identifier (NPI) is 1679889042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lara Al-Ejeilat's specialty?
- Lara Al-Ejeilat is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lara Al-Ejeilat located?
- Lara Al-Ejeilat's practice location on file with NPPES is 14500 99th Ave N, Maple Grove, MN 55369-4730.
- What is Lara Al-Ejeilat's phone number?
- The practice phone number listed in the NPPES registry for Lara Al-Ejeilat is (763) 898-1000.
- Does Lara Al-Ejeilat accept Medicare?
- Lara Al-Ejeilat is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lara Al-Ejeilat's NPI active?
- Yes — Lara Al-Ejeilat's NPI (1679889042) is active in the NPPES registry as of the last update on 2013-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.