Individual provider Active NPI

Safrin R Ali, PA-C

  • Physician Assistant
  • Spring, TX
National Provider Identifier
1083084503
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1121196 Issued in TX
Practice address
3550 Rayford Rd
Spring, TX 77386
Phone
(281) 586-3888
Fax
(281) 440-2020
NPI assigned
Sep 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 1121196 TX Primary

Addresses

Primary practice location

3550 Rayford Rd
Spring, TX 77386

Mailing address

20320 Northwest Fwy Ste 900
Jersey Village, TX 77065-5620
Phone (281) 453-7232

Other practice location 1

837 Cypress Creek Pkwy Ste 105
Houston, TX 77090-3422
Phone (281) 586-3888

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
I20171121002745 TX Practitioner - Physician Assistant 7719244029 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1121196TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Providers, 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1083084503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 900",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655620",
            "telephone_number": "281-453-7232",
            "fax_number": "281-440-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 RAYFORD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 Cypress Creek Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903422",
            "country_code": "US",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "SAFRIN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1121196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.