NPIMap

Individual provider Active NPI

Fazal Akbar Ali, MD

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1003956285
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24129 Issued in OK
Practice address
4221 S Western Ave
Suite 5020
Oklahoma City, OK 73109-3447
Phone
(405) 644-5428
Fax
(405) 644-5429
NPI assigned
Feb 7, 2007
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 24129 OK Primary

Addresses

Primary practice location

4221 S Western Ave
Suite 5020
Oklahoma City, OK 73109-3447

Mailing address

4221 S Western Ave Ste 5020
Oklahoma City, OK 73109-3445
Phone (405) 644-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090608000445 OK Practitioner - NephrologyPractitioner - Internal Medicine 7719037001 Reassigns benefits to 3 organizations
I20170327002272 TX Practitioner - NephrologyPractitioner - Internal Medicine 7719037001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4221 S Western Ave
Suite 5020
Oklahoma City, OK 73109-3445
Phone (405) 644-5428

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Duncan Inc CurrentSince Nov 14, 2011 Accepting new patients
Oklahoma Heart Clinics Nephrology Current Accepting new patients
El Reno Indian Health Center CurrentSince Feb 17, 2017 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince May 1, 2009 Accepting new patients
Fazal Akbar Ali MD PC Nephrology CurrentSince Feb 14, 2014 Accepting new patients
Fresenius Medical Care Moore, LLC PastSince Jun 27, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

4221 S Western Ave
Ste 5020
Oklahoma City, OK 73109
Phone (405) 636-7412

Interoperability endpoints

  • Direct secure messaging: fali22428@direct.integrisok.com

Organizations & group practices 8

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1003956285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 5020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093445",
            "telephone_number": "405-644-5428",
            "fax_number": "405-644-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "SUITE 5020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-5428",
            "fax_number": "405-644-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FAZAL",
        "middle_name": "AKBAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "24129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.