Individual provider Active NPI

Ali S. Albaghdadi, M.D.

  • Cardiovascular Disease Physician
  • Clinton, IA
National Provider Identifier
1063479319
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36145 Issued in IA
Practice address
2745 Lincoln Way
Clinton, IA 52732-7201
Phone
(563) 244-2144
Fax
(563) 244-2143
NPI assigned
Apr 28, 2006
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-1123608 IL
Cardiovascular Disease Physician 207RC0000X 171-320 WI
Cardiovascular Disease Physician 207RC0000X ME167732 FL
Cardiovascular Disease Physician 207RC0000X 36145 IA Primary

Addresses

Primary practice location

2745 Lincoln Way
Clinton, IA 52732-7201

Mailing address

2745 Lincoln Way
Clinton, IA 52732-7201
Phone (563) 244-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050808001199 IA Practitioner - Cardiovascular Disease (Cardiology) 1254360456 Reassigns benefits to 2 organizations
I20240910002978 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1254360456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Cardiology Consultants of Southwest Florida IncGroup PAC ID 9335114552, 9 clinicians
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Practice addresses (Care Compare)

13411 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1873
Phone (239) 415-4900

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

2745 Lincoln Way
Clinton, IA 52732-7201
Phone (563) 244-2144

915 13TH Ave N
Clinton, IA 52732-5067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
80.05
Improvement activities
40
Cost
74.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167732FLMDCardiovascular Disease Physician
36145IAMDCardiovascular Disease Physician
036-1123608ILMDCardiovascular Disease Physician
171-320WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic CurrentSince Jan 1, 2021 Accepting new patients
Cardiology Consultants of Southwest Florida, Inc. Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Mercy Specialty Clinic CurrentSince Jan 1, 2021 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients

Locations

13411 Parker Commons Blvd
Ste 101
Fort Myers, FL 33912
Phone (239) 415-4900

2745 Lincoln Way
Clinton, IA 52732
Phone (563) 242-3208

2745 Lincoln Way
#30
Clinton, IA 52732

600 14th Ave N
Clinton, IA 52732
Phone (563) 244-3680

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

Interoperability endpoints

  • Direct secure messaging: aalbaghdadi3929828@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAAAA/Endpoint/BBAAAA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1063479319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-244-2144",
            "fax_number": "563-244-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-244-2144",
            "fax_number": "563-244-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAGHDADI",
        "first_name": "ALI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-1123608",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "171-320",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME167732",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "36145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.