Individual provider Active NPI

Ali Yousufuddin, MD

Pain Medicine (Anesthesiology) Physician
Chambersburg, PA

National Provider Identifier

1083607840

Registry record updated Mar 7, 2023

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
Organizations & group practices2
Hospital & facility affiliations1
NPI Registry JSON
Other providers in Chambersburg, PA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License: MD422419 Issued in PA
Practice address: 69 St Paul Dr Ste B
Chambersburg, PA 17201-1020
Phone: (717) 218-8800
Fax: (717) 552-2196
NPI assigned: Aug 26, 2005
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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
Pain Medicine (Anesthesiology) Physician	207LP2900X	MD422419	PA	Primary
Anesthesiology Physician	207L00000X	MD422419	PA

Addresses

Primary practice location

69 St Paul Dr Ste B
Chambersburg, PA 17201-1020

Mailing address

69 St Paul Dr Ste B
Chambersburg, PA 17201-1020
Phone (717) 218-8800

Other practice location 1

49 Brookwood Ave
Carlisle, PA 17015-9126
Phone (717) 218-8800

Other identifiers 29

Identifier	Type	State	Issuer
1569284	Other	PA	GATEWAY
2154658	Other	PA	MAMSI
50083161	Other	PA	CAPITAL BLUECROSS (PMFC)
922049-04	Other	PA	CAREFIRST MD (PMFC)
1511160	Other	PA	HIGHMARK BLUESHIELD
25-1716306	Other	PA	INTERGROUP
25-1716306	Other	PA	DEVON
P00458429	Other	PA	RAILROAD MEDICARE
050514	Other	PA	MEDICARE GROUP #
1763477	Other	PA	AETNA HMO (AFC)
25-1716306	Other	PA	HEALTHNET/TRICARE
25-1716306	Other	PA	INFORMED
25-1716306	Other	PA	MULTIPLAN/PHCS
100816820 0003	Medicaid	PA
25-1716306	Other	PA	FIRST HEALTH
PEARL PROVIDER	Other	PA	HEALTH AMERICA
227939	Other	PA	UNISON (AFC)
50073146	Other	PA	CAPITAL BLUECROSS (AFC)
7741677	Other	PA	AETNA NON-HMO
1007307260037	Other	PA	MEDICAID GROUP # (PMFC)
100816820 0001	Medicaid	PA
289723	Other	PA	UNISON (PMFC)
MD422419	Other	PA	LICENSE
100816820 0002	Medicaid	PA
25-1716306	Other	PA	SOUTH CENTRAL PREFERRED
V132-0001	Other	PA	CAREFIRST DC (PMFC)
1007307260036	Other	PA	MEDICAID GROUP # (AFC)
120420418	Other	PA	DEPT OF LABOR
6802723	Other	PA	AETNA HMO (PMFC)

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
Direct Messaging Address	draliy@draliy.medentdirect.com	Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Enrollment ID	State	Provider type	PAC ID	Details
I20051020000140	PA	Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management	8426074303	Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Specialty: AnesthesiologyAlso: Pain Management
Education: Other, 1991
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services

Practice addresses (Care Compare)

69 St Paul Dr
Suite B
Chambersburg, PA 17201-1020
Phone 7172188800130

Hospital & facility affiliations

Fulton County Medical Center Hospital, McConnellsburg, PA, CCN 391303

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD422419	PA	MD	Anesthesiology Physician

Practice roles

Organization	Specialty	Status	New patients
Pain Institute of Central PA PC	Anesthesiology	CurrentSince Apr 5, 2011	Accepting new patients
Chambersburg Anesthesia Associates	Anesthesiology	Past	Accepting new patients

Locations

49 Brookwood Ave
Ste 3
Carlisle, PA 17015

49 Brookwood Ave
Carlisle, PA 17015
Phone (717) 243-8000

69 St Paul Dr
#B
Chambersburg, PA 17201
Phone (717) 218-8800

Interoperability endpoints

Direct secure messaging: draliy@draliy.medentdirect.com

Organizations & group practices 2

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.

Pain Institute of Central PA PC
- Pain Medicine (Anesthesiology) Physician
- Chambersburg, PA
- NPI 1255623880
Medicare reassignment NPD Authorized official
Chambersburg Anesthesia Associates
- Pain Medicine (Anesthesiology) Physician
- Chambersburg, PA
- NPI 1992798516
NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Fulton County Medical Center
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
Care Compare affiliation

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083607840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ST PAUL DR STE B",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011020",
            "telephone_number": "717-218-8800",
            "fax_number": "717-552-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ST PAUL DR STE B",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011020",
            "telephone_number": "717-218-8800",
            "fax_number": "717-552-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Brookwood Ave",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159126",
            "country_code": "US",
            "telephone_number": "717-218-8800",
            "fax_number": "717-218-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSUFUDDIN",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD422419",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD422419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1569284",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2154658",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS (PMFC)",
            "identifier": "50083161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD (PMFC)",
            "identifier": "922049-04",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "1511160",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00458429",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "050514",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO (AFC)",
            "identifier": "1763477",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/TRICARE",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100816820 0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "PEARL PROVIDER",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON (AFC)",
            "identifier": "227939",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS (AFC)",
            "identifier": "50073146",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7741677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP # (PMFC)",
            "identifier": "1007307260037",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100816820 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON (PMFC)",
            "identifier": "289723",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD422419",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100816820 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CENTRAL PREFERRED",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC (PMFC)",
            "identifier": "V132-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP # (AFC)",
            "identifier": "1007307260036",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "120420418",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO (PMFC)",
            "identifier": "6802723",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "draliy@draliy.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Medent",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "69 St Paul Dr Ste B",
            "city": "Chambersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172011020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.