Asjad Mahmood Ali, M.D.
Individual provider Active NPI Family Medicine Physician · Holden, MA
NPI 1013101948 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1013101948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 238815 (MA)
- Practice address
- 27 Shrewsbury St
Holden, MA 01520-1842 - Phone
- (508) 829-6765
- NPI assigned
- Sep 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
64 Boyden Rd
Holden, MA 01520-2570
Phone (508) 829-6765
Hospital & facility affiliations
- Vna Care Network
- Encompass Health Home Health
- Vna Care Hospice Inc
- Umass Memorial Medical Center/University Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20091124000486 | MA | Practitioner - Family Practice | 4789723180 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238815 | MA | MD | Family Medicine Physician |
| 57.011729 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
64 Boyden Rd
Holden, MA 01520
Phone (508) 829-6765
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
630 Plantation St
Worcester, MA 01605
Phone (508) 368-5529
Interoperability endpoints
- asjad.ali.npi1013101948.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57.011729 | OH | |
| Family Medicine Physician | 207Q00000X | 238815 | MA | Yes |
Addresses
Primary practice location
27 Shrewsbury St
Holden, MA 01520-1842
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 829-6765
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110083172A | Medicaid | MA |
Other providers in Holden, MA
- Priscilla Addai Owusu
- Franklin Akrofi Adodoadji
- Affiliated Podiatrists PC
- Felicia A Ahearn
- Albacare Home Health Services LLC
- Courtney Lynn Allain Paul
- Thomas J Allen Jr.
- Alpha Homecare Services LLC
- Amiee Caruso Cags MSN Pmhnp-BC
- Maria L Ares
All providers in Holden, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. 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.