Active NPI
Abubaker Ahmed Ali, M.D.
- Surgery Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME167068
- Practice address
- 61 Memorial Medical Pkwy Ste 1-800a
Palm Coast, FL 32164-5983 - Phone
- (386) 302-1366
- NPI assigned
- Jun 29, 2009
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301094760 | MI | |
| Surgery Physician | 208600000X | ME167068 | FL | Primary |
Addresses
Primary practice location
61 Memorial Medical Pkwy Ste 1-800a
Palm Coast, FL 32164-5983
Mailing address
PO Box 946383
Atlanta, GA 30394-6383
Other practice location 1
13051 Osborne St
Apt 608
Dearborn, MI 48126-4037
Phone (313) 878-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- Quality
- 64.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Kemit PLLC | Current | Accepting new patients | |
| Memorial Hospital Flagler Inc. | Current | Accepting new patients | |
| Memorial Hospital Flagler Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Surgery | Current | Accepting new patients |
| United Trauma Care PLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
3 Adventhealth Way
Ste 201
Palm Coast, FL 32137
Phone (386) 586-1840
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
23077 Greenfield Rd
Ste 231
Southfield, MI 48075
Phone (248) 569-2160
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- aali2962884@adventhealth.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Surgery
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1982146866
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1063640068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 946383",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303946383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEMORIAL MEDICAL PKWY STE 1-800A",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645983",
"telephone_number": "386-302-1366"
}
],
"practiceLocations": [
{
"address_1": "13051 Osborne St",
"address_2": "APT 608",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481264037",
"country_code": "US",
"telephone_number": "313-878-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "ABUBAKER",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301094760",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME167068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.