NPIMap

Individual provider Active NPI

Ali Marhaba, MD

  • Gastroenterology Physician
  • Binghamton, NY
National Provider Identifier
1104827138
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
203122 Issued in NY
Practice address
40 Mitchell Ave
Binghamton, NY 13903-1678
Phone
(607) 772-0639
NPI assigned
Aug 1, 2005
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 203122 NY Primary

Addresses

Primary practice location

40 Mitchell Ave
Binghamton, NY 13903-1678

Mailing address

40 Mitchell Ave
Binghamton, NY 13903-1678
Phone (607) 772-0639

Other identifiers 1

IdentifierTypeStateIssuer
01916614MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000574 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1456401157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

179 N Broad St
Uhs Senior Living Norwich
Norwich, NY 13815-1019
Phone (607) 337-4111

40 Mitchell Ave
Binghamton, NY 13903-1678
Phone (607) 772-0639

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy349
Upper gastrointestinal (GI) endoscopy for acid reflux450

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Nov 1, 2014 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Feb 7, 2024 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Feb 18, 2013 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince Feb 18, 2013 Accepting new patients
United Medical Associates, P.C. CurrentSince Nov 1, 2014 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Apr 1, 2019 Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

Organizations & group practices 7

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 4

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1104827138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031678",
            "telephone_number": "607-772-0639",
            "fax_number": "607-722-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031678",
            "telephone_number": "607-772-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHABA",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "203122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01916614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.