Individual provider Active NPI

Sabah Ali, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1073087177
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12390 Issued in TX
Practice address
4207 Burnet Rd
Austin, TX 78756-3316
Phone
(512) 706-1900
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12390 TX Primary

Addresses

Primary practice location

4207 Burnet Rd
Austin, TX 78756-3316

Mailing address

13405 Hymeadow Cir
Austin, TX 78729-1762

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002719 TX Practitioner - Physician Assistant 3870832983 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1015 W University Ave
Suite 700
Georgetown, TX 78628-5355
Phone (512) 691-6520

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1905 SW H K Dodgen Loop
Ascension Medical Group Temple
Temple, TX 76502-1814
Phone (254) 298-2682

1909 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (877) 324-3310

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

701 S Capital of Texas Hwy 900
Seton Family of Doctors at Westlake
West Lake Hills, TX 78746-5243
Phone (512) 324-6970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Nov 8, 2021 Accepting new patients
Providence Health Alliance CurrentSince May 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Nov 8, 2021 Accepting new patients
Aco Jason Martin Medical Consulting PastSince Aug 3, 2025 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

4207 Burnet Rd
Austin, TX 78756
Phone (512) 533-2455

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1015 W University Ave
Ste 700
Georgetown, TX 78628
Phone (512) 324-9699

3721 Williams Dr
Georgetown, TX 78628
Phone (512) 869-7310

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 University Oaks Blvd
Ste 1260
Round Rock, TX 78665
Phone (512) 324-4780

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Interoperability endpoints

  • Direct secure messaging: sabah.ali.1@8363.direct.athenahealth.com
  • Direct secure messaging: sabah.ali.1@9635.direct.athenahealth.com

Organizations & group practices 8

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1073087177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 HYMEADOW CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563316",
            "telephone_number": "512-706-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SABAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.