Ali Kassamali, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

076333 Issued in GA

Practice address

400 Tower Rd NE Ste 350
Marietta, GA 30060-9415

Phone

(404) 920-4950

Fax

(404) 920-4959

NPI assigned

Jun 21, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

University of Miami, LM Miller School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Aurora Anesthesia LLCGroup PAC ID 4789123167, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.66 of 100Reported as group

Quality

74.46

Promoting interoperability

99

Improvement activities

40

Cost

71.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Anesthesia LLC

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1770336299

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Centurion Anesthesia - FL LLC

  • Anesthesiology Physician
  • Hollywood, FL
  • NPI 1700528346

  Single Specialty

  Medicare reassignment Care Compare group NPD
• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004

  Single Specialty

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Single Specialty

  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Single Specialty

  Medicare reassignment NPD
• Nrsa Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Riverview, FL
  • NPI 1811422249

  Single Specialty

  Medicare reassignment NPD
• Quantum Anesthesia Services PA

  • Anesthesiology Physician
  • Key West, FL
  • NPI 1306270806

  Single Specialty

  Medicare reassignment NPD
• CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
  • NPI 1689945800
  NPD
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608

  Single Specialty

  NPD
• Tampa Bay Joint and Spine, LLC

  • Ambulatory Surgical Clinic/Center
  • Clearwater, FL
  • NPI 1063092047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1003102898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822",
            "telephone_number": "404-920-4950",
            "fax_number": "770-252-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWER RD NE STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609415",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAMALI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "GA",
            "license": "076333",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "076333",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN16412",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "076333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkatkrish Manohar Kasetty, MD
• Bader Nizar Kashlan, DO
• Khaled Kashlan, MD
• Robert H Kasik, O.D.
• Kenneth Leonard Kaskie
• Aneed Kassim, LPC
• Kate Pollard, LLC
• Sridevi Katragadda
• Wendy J Katz, DDS
• Kristina L Kauffman, PA

• Interventional Pain Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.