Individual provider Active NPI

Mir-Omar Ali, MD

  • Pulmonary Disease Physician
  • Clayton, NC
National Provider Identifier
1083800965
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
200701575 Issued in NC
Practice address
8878 US 70 Hwy W Ste 400a
Clayton, NC 27520-4824
Phone
(919) 550-5663
Fax
(919) 550-5761
NPI assigned
Sep 24, 2007
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2007-01575 NC
Pulmonary Disease Physician 207RP1001X 200701575 NC Primary

Addresses

Primary practice location

8878 US 70 Hwy W Ste 400a
Clayton, NC 27520-4824

Mailing address

8878 US 70 Hwy W Ste 400a
Clayton, NC 27520-4824
Phone (919) 550-5663

Other practice location 1

706 Wilkins St Ste A
Smithfield, NC 27577-4662
Phone (919) 989-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080401000652 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4385721307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Mast Dr
Suite 102
Garner, NC 27529-6720
Phone (708) 812-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200701575NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology & Bronchology Pulmonary Disease CurrentSince Oct 1, 2007 Accepting new patients
Smithfield Pulmonology Past Accepting new patients

Locations

8878 US 70 Hwy W
Ste 400A
Clayton, NC 27520
Phone (919) 550-5663

222 Mast Dr
#102
Garner, NC 27529
Phone (708) 812-9101

706 Wilkins St
Ste A
Smithfield, NC 27577
Phone (919) 989-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1083800965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 US 70 HWY W STE 400A",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204824",
            "telephone_number": "919-550-5663",
            "fax_number": "919-550-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8878 US 70 HWY W STE 400A",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204824",
            "telephone_number": "919-550-5663",
            "fax_number": "919-550-5761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Wilkins St Ste A",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774662",
            "country_code": "US",
            "telephone_number": "919-989-1800",
            "fax_number": "919-989-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR-OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2007-01575",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200701575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.