Individual provider Active NPI

Ali Hasan Ebrahim, M.D.

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1003344656
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
W3354 Issued in TX
Practice address
6124 W Parker Rd Ste 432
Plano, TX 75093-8124
Phone
(972) 403-3100
Fax
(972) 403-3105
NPI assigned
May 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X W3354 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 432
Plano, TX 75093-8124

Mailing address

6124 W Parker Rd Ste 432
Plano, TX 75093-8124
Phone (972) 403-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220711002477 MO Practitioner - Neurology 7719259415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Memorial Hospital DistrictGroup PAC ID 4688561814, 138 clinicians

Practice addresses (Care Compare)

1602 N 2ND St
Golden Valley Medical Clinton
Clinton, MO 64735-1192
Phone (660) 890-8023

Hospital & facility affiliations

  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022003405MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Ebrahim Neurology PLLC Neurology Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Zainab Alalawi MD PLLC Neurology PastSince Nov 18, 2025 Accepting new patients

Locations

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

6124 W Parker Rd
Ste 432
Plano, TX 75093
Phone (972) 403-3100

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1003344656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "ALI",
        "middle_name": "HASAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.