Active NPI
Muhammad M. Ali, MD
- Psychiatry Physician
- Wichita, KS
National Provider Identifier
1073537130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 04-30218
- Practice address
- 1427 N Glen Wood CT
Wichita, KS 67230-1708 - Phone
- (316) 613-1078
- Fax
- (316) 854-0809
- NPI assigned
- Jul 26, 2006
- Last updated
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 04-30218 | KS | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036112644 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 04-30218 | KS |
Addresses
Primary practice location
1427 N Glen Wood CT
Wichita, KS 67230-1708
Mailing address
1427 N Glen Wood CT
Wichita, KS 67230-1708
Phone (316) 613-1078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30218 | KS | MD | Psychiatry Physician |
| 036112644 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Mental Health Counseling Center, Inc. | Past | Accepting new patients | |
| Cowley County Mental Health Center | Past | Accepting new patients | |
| South Central Mental Health Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winfield, KS
- NPI 1588653588
-
- Mental Health Counselor
- El Dorado, KS
- NPI 1538155882
-
- Community/Behavioral Health Agency
- El Dorado, KS
- NPI 1891561858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1073537130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 N GLEN WOOD CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672301708",
"telephone_number": "316-613-1078",
"fax_number": "316-854-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 N GLEN WOOD CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672301708",
"telephone_number": "316-613-1078",
"fax_number": "316-854-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MUHAMMAD",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "04-30218",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036112644",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KS",
"license": "04-30218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.