Individual provider Active NPI

Shaik M. Ali, M.D.

  • Cardiovascular Disease Physician
  • S. Richmond Hill, NY
National Provider Identifier
1063446631
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
192787 Issued in NY
Practice address
101-20 Lefferts Blvd.
S. Richmond Hill, NY 11419
Phone
(718) 850-0707
Fax
(718) 850-9405
NPI assigned
Jul 10, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 192787 NY Primary

Addresses

Primary practice location

101-20 Lefferts Blvd.
S. Richmond Hill, NY 11419

Mailing address

37 Clifton Street
Farmingdale, NY 11735
Phone (718) 850-0707

Other identifiers 1

IdentifierTypeStateIssuer
01720061MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040927001028 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032188032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Associated Cardiology Consultant PCGroup PAC ID 3274422688, 2 clinicians
Rosey Sultana Medical Care PCGroup PAC ID 0446798987, 2 clinicians

Practice addresses (Care Compare)

10120 Lefferts Blvd
South Richmond Hill, NY 11419-2006
Phone (718) 850-0707

1905 Hempstead Turnpike
East Meadow, NY 11554-1047

2249 2ND Ave
New York, NY 10029-2266
Phone (718) 313-4545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Cardiology Consultant PC Cardiovascular Disease CurrentSince Apr 1, 2001 Accepting new patients
Mercy Internal Medicine PC CurrentSince Jan 1, 2007 Accepting new patients
Rosey Sultana Medical Care PC Cardiovascular Disease CurrentSince Dec 8, 2024 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease Past Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

1905 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 222-6400

183 Broadway
Ste 218
Hicksville, NY 11801
Phone (516) 932-0906

2249 2nd Ave
New York, NY 10029
Phone (212) 996-0006

3403 Broadway
New York, NY 10031
Phone (718) 850-0707

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

2000 N Village Ave
Ste 303
Rockville Ctr, NY 11570
Phone (516) 517-7195

10120 Lefferts Blvd
South Richmond Hl, NY 11419
Phone (347) 666-1144

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sali32613@direct-chsli.net
  • Direct secure messaging: sali64544@northwell.direct-ci.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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1063446631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLIFTON STREET",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "718-850-0707",
            "fax_number": "718-850-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-20 LEFFERTS BLVD.",
            "city": "S. RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-850-0707",
            "fax_number": "718-850-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAIK",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "192787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01720061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S. Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.