Ali Nawaz LLC
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Edmond, OK
NPI 1013725977 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1013725977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- ALI NAWAZ LLC
- Practice address
- 2940 Hunter Crest Dr
Edmond, OK 73034-0021 - Phone
- (917) 558-4195
- NPI assigned
- Dec 24, 2024
- Organization subpart
- No
Authorized official
- Name
- Ali Tipu, MD
- Title
- Owner and Ceo
- Phone
- (917) 558-4195
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250515003579 | OK | Part B Supplier - Clinic/Group Practice | 6709304462 |
Receives reassigned benefits from 1 practitioner Practice locations: Edmond, OK; Oklahoma City, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
2940 Hunter Crest Dr
Edmond, OK 73034-0021
Mailing address
2940 Hunter Crest Dr
Edmond, OK 73034-0021
Other names
- Endo Balance PLLC
Other providers in Edmond, OK
- Hannah Alexander
- Jacob Taylor Alexander
- Jennifer Alexander
- Tayler Alexander
- Lykourgos Alexopoulos
- Armani Ali
- Mehak Fazal Ali
- Alicia Thompson MD PLLC
- Align Psychiatry and Behavioral Medicine, PLLC
- All Ears Hearing AIDS LLC
All providers in Edmond, OK · Endocrinology, Diabetes & Metabolism 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 Apr 10, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.