Mir-Omar Ali, MD
Individual provider Active NPI Pulmonary Disease Physician · Clayton, NC
NPI 1083800965 · NPPES record last updated Nov 11, 2019
Key facts
- NPI
- 1083800965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 200701575 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- 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
- Johnston Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.49 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080401000652 | NC | Practitioner - Pulmonary Disease |
4385721307 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701575 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonology & Bronchology | Pulmonary Disease | Current |
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
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2007-01575 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 200701575 | NC | Yes |
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
Other providers in Clayton, NC
- Christiana Akwari
- Shereen Azam Alavian
- Alayon Care Transportation LLC
- Alleta Michelle Spruill Alexander
- Faben Mulate Ali
- Align Family Chiropractic PC
- Richard John Alioto
- All Occasions Transportation
- All Precious Home Care Agency
- All Precious Medical Equipment LLC
All providers in Clayton, NC · Pulmonary Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.