Individual provider Active NPI

Ali S Ahmadinejad, MD

  • Surgery Physician
  • Darby, PA
National Provider Identifier
1053382861
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD038453L Issued in PA
Practice address
1501 Lansdowne Ave
Suite 207
Darby, PA 19023-1333
Phone
(610) 534-6210
Fax
(610) 534-6209
NPI assigned
Jan 30, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD038453L PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 207
Darby, PA 19023-1333

Mailing address

1501 Lansdowne Ave
Suite 207
Darby, PA 19023-1333
Phone (610) 534-6210

Other names 1

  • Ali Ahmadi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080208000113 PA Practitioner - General SurgeryPractitioner - Vascular Surgery 8123101540 Practice locations: Darby, PA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.53 of 100Reported as group
Quality
67.3
Promoting interoperability
87
Improvement activities
40
Cost
25.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali S Ahmadinejad MD Surgery PastSince Jan 1, 1990 Accepting new patients
Southeast Pennsylvania Surgical Associates Surgery PastSince Jan 1, 1990 Accepting new patients
Nephrology Associates of Delaware County PC PastSince Mar 10, 2005 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1053382861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 207",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6210",
            "fax_number": "610-534-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 207",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6210",
            "fax_number": "610-534-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADINEJAD",
        "first_name": "ALI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD038453L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "AHMADI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.