Individual provider Active NPI

Mohammed Saber Ali, MD

  • General Practice Physician
  • Boonsboro, MD
National Provider Identifier
1083783872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0034165 Issued in MD
Practice address
20311 Lappans Rd
Boonsboro, MD 21713-2037
Phone
(301) 432-8470
Fax
(301) 432-4010
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0034165 MD Primary

Addresses

Primary practice location

20311 Lappans Rd
Boonsboro, MD 21713-2037

Mailing address

428 Links View Dr
Hagerstown, MD 21740-2900
Phone (301) 739-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 IDStateProvider typePAC IDDetails
I20140325000346 MD Practitioner - General Practice 9133350721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0034165MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA CurrentSince Sep 15, 2013 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083783872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LINKS VIEW DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402900",
            "telephone_number": "301-739-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132037",
            "telephone_number": "301-432-8470",
            "fax_number": "301-432-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMMED",
        "middle_name": "SABER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0034165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonsboro, MD

Sources for this page

Verify at the official NPI Registry.