NPIMap

Individual provider Active NPI

Mohsin Ali, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Watertown, NY
National Provider Identifier
1093912909
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
003293 Issued in NY
Practice address
1340 Washington St
Watertown, NY 13601-4541
Phone
(315) 782-9003
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 003293 NY
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 003293 NY Primary

Addresses

Primary practice location

1340 Washington St
Watertown, NY 13601-4541

Mailing address

1340 Washington St
Watertown, NY 13601-4541
Phone (315) 782-9003

Other practice location 1

14233 Boulder Creek Rd
Watertown, NY 13601-6745
Phone (877) 744-6483

Other identifiers 2

IdentifierTypeStateIssuer
393942000MedicaidMN
03161286MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090826000477 NY Practitioner - Neurology 8123113248 Reassigns benefits to 3 organizations
I20221011001591 IL Practitioner - Neurology 8123113248

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Country Neurology PCGroup PAC ID 6608855416, 5 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

1340 Washington St
Watertown, NY 13601-4541
Phone (315) 782-9003

14233 Boulder Creek Rd
Watertown, NY 13601-6745
Phone (877) 744-6483

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003293NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center CurrentSince Jan 10, 2023 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center Neurology CurrentSince May 26, 2022 Accepting new patients
North Country Neurology PC CurrentSince Jul 1, 2009 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 26, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

830 Washington St
#13282
Watertown, NY 13601
Phone (315) 785-4667

1340 Washington St
Watertown, NY 13601
Phone (315) 755-6099

Interoperability endpoints

  • Direct secure messaging: mali@ncn.medentdirect.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 and National Provider Directory roles.

View all 17

Hospital & facility affiliations 7

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1093912909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014541",
            "telephone_number": "315-782-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014541",
            "telephone_number": "315-782-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14233 Boulder Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136016745",
            "country_code": "US",
            "telephone_number": "877-744-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "003293",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NY",
            "license": "003293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393942000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03161286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.