Active NPI
Ijlal Akbar Ali, MD
- Gastroenterology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 30775
- Practice address
- 920 Stanton L Young Blvd # Wp1130
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-5963
- Fax
- (405) 271-7186
- NPI assigned
- Jun 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30775 | OK | |
| Gastroenterology Physician | 207RG0100X | 30775 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd # Wp1130
Oklahoma City, OK 73104-5036
Mailing address
800 Stanton L Young Blvd
Ste 6300
Oklahoma City, OK 73104-5018
Phone (405) 271-5963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709003492 | OK | Practitioner - Gastroenterology | 4284916420 | Reassigns benefits to 1 organization |
| I20251031000265 | PA | Practitioner - Internal Medicine | 4284916420 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8222
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Pennsylvania Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Gastroenterology | Current | Accepting new patients |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
920 Stanton L Young Blvd
#1130
Oklahoma City, OK 73104
Phone (405) 271-5963
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429
1122 NE 13th St
#274
Oklahoma City, OK 73117
3400 Civic Center Blvd
#4W
Philadelphia, PA 19104
Phone (215) 662-2300
3400 Civic Center Blvd
Fl 4
Philadelphia, PA 19104
Phone (215) 662-3580
3737 Market St
Fl 11
Philadelphia, PA 19104
Phone (215) 662-8900
3400 Spruce St
Fl 3
Philadelphia, PA 19104
230 W Washington Sq
Fl 4
Philadelphia, PA 19106
Phone (215) 829-3561
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- iali29592@ouhealth.direct-ci.net
Organizations & group practices 19
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.
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1477660173
Gastroenterology, PA
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
OK
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
-
- Geriatric Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1497767495
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1568579266
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
-
- Transplant Surgery Physician
- Newark, DE
- NPI 1720553001
-
- Clinical Genetics (M.D.) Physician
- Philadelphia, PA
- NPI 1912014614
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Clinical Medical Laboratory
- Philadelphia, PA
- NPI 1184012569
-
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1194832899
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1023423977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 STANTON L YOUNG BLVD",
"address_2": "STE 6300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045018",
"telephone_number": "405-271-5963",
"fax_number": "405-271-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD # WP1130",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-5963",
"fax_number": "405-271-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "IJLAL AKBAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "30775",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "30775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.