Individual provider Active NPI

Aman Ali, MD

  • Gastroenterology Physician
  • Edwardsville, PA
National Provider Identifier
1093908113
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD430217 Issued in PA
Practice address
490 Northampton St
Suite 1
Edwardsville, PA 18704-4551
Phone
(570) 288-8100
Fax
(570) 288-7987
NPI assigned
Aug 22, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD430217 PA Primary
Gastroenterology Physician 207RG0100X MD-22711 HI
Gastroenterology Physician 207RG0100X 1093908113 NY

Addresses

Primary practice location

490 Northampton St
Suite 1
Edwardsville, PA 18704-4551

Mailing address

490 Northampton St Ste 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100

Other practice location 1

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 738-5648

Other practice location 2

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Other practice location 3

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Other practice location 4

90 Medical Park Dr Ste 1000
Lewisburg, PA 17837-6343
Phone (570) 524-2722

Other identifiers 1

IdentifierTypeStateIssuer
036125572MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, HI, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150910001351 PA Practitioner - Gastroenterology 1557395043 Reassigns benefits to 5 organizations
I20230224001248 HI Practitioner - Gastroenterology 1557395043 Reassigns benefits to 1 organization
I20240603002870 NY Practitioner - Hospitalist 1557395043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Digestive Care Associates, PCGroup PAC ID 7719294685, 9 clinicians

Practice addresses (Care Compare)

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 851-2722

490 Northampton St
Suite 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100

494 Northampton St
Suite 2
Edwardsville, PA 18704-4551
Phone (510) 718-0671

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 829-8111

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 770-3000

90 Medical Park Dr
Suite 1000
Lewisburg, PA 17837-6343
Phone (570) 524-2722

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy272
Upper gastrointestinal (GI) endoscopy for acid reflux1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093908113NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Digestive Care Associates PC Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 8, 2025 Accepting new patients
Wellspan Medical Group CurrentSince May 19, 2025 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 8, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Feb 28, 2023 Accepting new patients
Penn State Health Medical Group, LLC Gastroenterology CurrentSince Jan 25, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 25, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Feb 28, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
St Josephs Medical PC CurrentSince Jun 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince May 19, 2025 Accepting new patients
North Medical PC Current Accepting new patients
Gateway Surgery Center LLC PastSince Sep 14, 2025 Accepting new patients

Locations

1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

494 Northampton St
Ste 2
Kingston, PA 18704
Phone (510) 718-0671

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

90 Medical Park Dr
Ste 1000
Lewisburg, PA 17837
Phone (570) 524-2722

164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321

164 Greenview Dr
Ste 445
State College, PA 16803
Phone (814) 278-4631

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: aman.ali.1@14929.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1093908113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST STE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-5648",
            "fax_number": "717-327-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Medical Park Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376343",
            "country_code": "US",
            "telephone_number": "570-524-2722",
            "fax_number": "570-524-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "AMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD430217",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD-22711",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1093908113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125572",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, PA

Sources for this page

Verify at the official NPI Registry.