Fazal Akbar Ali, MD
Individual provider Active NPI Nephrology Physician · Oklahoma City, OK
NPI 1003956285 · NPPES record last updated Jan 23, 2018
Key facts
- NPI
- 1003956285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 24129 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Nephrology
- 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
- FKC - Moore
- Physicians Choice Dialysis of Midwest City
- Fmcna - South Okc DX Ctr
- Fmcna - Southwest Oklahoma City JV
- Fmcna - North Central Oklahoma City
- Integris Southwest Medical Center
- Oklahoma Heart Hospital South, LLC
- SSM Health St Anthony Hospital - Midwest
- Integris Baptist Medical Center, Inc
- Duncan Regional Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.88 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 69.59
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090608000445 | OK | Practitioner - Nephrology |
7719037001 | Reassigns benefits to 3 organizations |
| I20170327002272 | TX | Practitioner - Nephrology |
7719037001 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24129 | OK | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Heart Clinics | Nephrology | Current | Accepting new patients |
| El Reno Indian Health Center | Current |
Accepting new patients | |
| HCC Duncan Inc | Current |
Accepting new patients | |
| Hospital Care Consultants Region II Inc | Current |
Accepting new patients | |
| Fazal Akbar Ali MD PC | Nephrology | Current |
Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Fresenius Medical Care Moore, LLC | 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 5802255403677
4221 S Western Ave
Ste 5020
Oklahoma City, OK 73109
Phone (405) 636-7412
Interoperability endpoints
- fali22428@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 24129 | OK | Yes |
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
Other providers in Oklahoma City, OK
- Ali Rahill DDS PLLC
- Ali S. Zaza M.D.
- Abeera Ali
- Caleb Ali
- Elizabeth Ann Ali
- Hania Ali
- Hisham Asad Ali
- Ijlal Akbar Ali
- Mohammad Ali
- Munawar Ali
All providers in Oklahoma City, OK · Nephrology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.