Individual provider Active NPI

Ali Safdar, MD

  • Psychiatry Physician
  • Marion, IA
National Provider Identifier
1043211303
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20837 Issued in IA
Practice address
1860 County Home Rd
Marion, IA 52302-9753
Phone
(319) 396-1066
Fax
(319) 396-8779
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20837 IA Primary

Addresses

Primary practice location

1860 County Home Rd
Marion, IA 52302-9753

Mailing address

3100 E Ave NW Ste 101
Cedar Rapids, IA 52405-2962
Phone (319) 396-1066

Other identifiers 2

IdentifierTypeStateIssuer
2039743MedicaidIA
41850OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000884 IA Practitioner - Psychiatry 5890824379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abbe Management CorpGroup PAC ID 0446140222, 15 clinicians

Practice addresses (Care Compare)

1510 Boyson Rd
Hiawatha, IA 52233-2310
Phone (319) 396-1066

615 5TH St SE
Cedar Rapids, IA 52401-2158
Phone (319) 398-3562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20837IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Jul 1, 1989 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Abbe Management Corp CurrentSince Sep 4, 2001 Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Jul 1, 1989 Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Locations

615 5th St SE
Cedar Rapids, IA 52401

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

3100 E Ave NW
Ste 101
Cedar Rapids, IA 52405
Phone (319) 396-1066

520 11th St NW
Cedar Rapids, IA 52405
Phone (319) 297-3228

1510 Boyson Rd
Hiawatha, IA 52233
Phone (319) 396-1066

740 N 15th Ave
Ste A
Hiawatha, IA 52233

1860 County Home Rd
Marion, IA 52302
Phone (319) 398-3534

Interoperability endpoints

  • Direct secure messaging: asafdar41382@direct.unitypoint.org

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 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1043211303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E AVE NW STE 101",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052962",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 COUNTY HOME RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029753",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDAR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "20837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039743",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41850",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.