Qais Abu Ali, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40491 Issued in AZ

Practice address

4506 Stephens Cir NW
Canton, OH 44718-3628

Phone

(330) 994-0436

Fax

(330) 492-4906

NPI assigned

Jun 18, 2008

Last updated

May 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  NPD (past)
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1033370473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 STEPHENS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183628",
            "telephone_number": "330-994-0436",
            "fax_number": "330-492-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 STEPHENS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183628",
            "telephone_number": "330-994-0436",
            "fax_number": "330-492-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU ALI",
        "first_name": "QAIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301079654",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "AZ",
            "license": "40491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Abi, RN, APRN.CNP
• Abigail Elaine Agency LLC
• Sunni Meghan Abney, LPCC
• Kendika Abrams, MD
• Maya Callie Jane Abrigg, LSW
• Nisrin Abu Elnour, MD
• Accelerated Physical Therapy
• Accent on Eyes Inc
• Accent on Eyes, LLC
• Accurate Medical Supply Inc

• Internal Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.