Individual provider Active NPI

Abdulfatah M Ali, M.D.

  • Ophthalmology Physician
  • Plano, TX
National Provider Identifier
1053382937
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P0532 Issued in TX
Practice address
4108 West 15TH St.
Suite 200
Plano, TX 75075-5841
Phone
(972) 379-3937
Fax
(972) 379-3938
NPI assigned
Jan 30, 2006
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR43898 CO
Ophthalmology Physician 207W00000X P0532 TX Primary

Addresses

Primary practice location

4108 West 15TH St.
Suite 200
Plano, TX 75075-5841

Mailing address

4108 West 15TH St.
Suite 200
Plano, TX 75075-5841
Phone (972) 379-3937

Other identifiers 1

IdentifierTypeStateIssuer
84833378MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111117000467 TX Practitioner - Ophthalmology 3274588389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Eye Surgeons PAGroup PAC ID 5092968164, 2 clinicians

Practice addresses (Care Compare)

4108 W 15TH St
Suite 200
Plano, TX 75093-5850
Phone (972) 379-3937

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
96.3
Improvement activities
40
Cost
74.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery142
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR43898COMDOphthalmology Physician
P0532TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sohail Parekh Internal Medicine & Geriatric Care PA Past Accepting new patients
Plano Ambulatory Surgery Associates, LP Past Accepting new patients
Surgeyecare, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aali@directaddress.net

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, 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": "1468800000000",
    "number": "1053382937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 WEST 15TH ST.",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755841",
            "telephone_number": "972-379-3937",
            "fax_number": "972-379-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 WEST 15TH ST.",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755841",
            "telephone_number": "972-379-3937",
            "fax_number": "972-379-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ABDULFATAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR43898",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P0532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84833378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.