Individual provider Active NPI

Farhan Ali, DO

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1023513397
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H0100552 Issued in MD
Practice address
827 Linden Ave
Baltimore, MD 21201-4606
Phone
(410) 328-8730
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X H0100552 MD Primary

Addresses

Primary practice location

827 Linden Ave
Baltimore, MD 21201-4606

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040

Other names 1

  • Mr. Farhan Ali Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240624001091 MD Practitioner - Gastroenterology 1951844570 Reassigns benefits to 1 organization
I20250625001087 IN Practitioner - Gastroenterology 1951844570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

7900 W Jefferson Blvd
Suite 201
Fort Wayne, IN 46804-4128
Phone (260) 969-7100

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Bluffton Regional Medical Center Hospital, Bluffton, IN, CCN 150075
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC Single Specialty CurrentSince Jun 18, 2025 Accepting new patients
University of Maryland Physicians P.a. Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
University of Maryland Physicians P.a. Single Specialty Current Accepting new patients
Lutheran Medical Group LLC CurrentSince Jun 18, 2025 Accepting new patients
University of Maryland Physicians PA Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

800 Broadway
Ste 200
Fort Wayne, IN 46802
Phone (260) 458-3410

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

7900 W Jefferson Blvd
Ste 201
Fort Wayne, IN 46804
Phone (260) 969-7100

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Interoperability endpoints

  • Direct secure messaging: fali20073@direct.xtensys.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1023513397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-8040",
            "fax_number": "443-462-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "410-328-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FARHAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "H0100552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARHAN",
            "last_name": "ALI",
            "prefix": "MR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.