Individual provider Active NPI

Noaman Syed Ali, MD

  • Surgery Physician
  • Orange Park, FL
National Provider Identifier
1114127693
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME164623 Issued in FL
Practice address
1825 Kingsley Ave Ste 150
Orange Park, FL 32073-4478
Phone
(904) 264-5426
Fax
(904) 264-5427
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301090762 MI
Surgery Physician 208600000X 35-121257 OH
Surgery Physician 208600000X ME164623 FL Primary

Addresses

Primary practice location

1825 Kingsley Ave Ste 150
Orange Park, FL 32073-4478

Mailing address

1825 Kingsley Ave Ste 150
Orange Park, FL 32073-4478
Phone (904) 264-5426

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
0086219MedicaidOH
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #

Other names 1

  • Syed Noaman Ali Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130716000202 OH Practitioner - General Surgery 4183864143 Reassigns benefits to 2 organizations
I20231027000705 FL Practitioner - General Surgery 4183864143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

1825 Kingsley Ave
Suite 150
Orange Park, FL 32073-4439
Phone (904) 264-5626

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090762MIMDSurgery Physician
35-121257OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group Surgery CurrentSince Aug 18, 2014 Accepting new patients
Memorial Family Practice Associates, LLC CurrentSince Nov 1, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group CurrentSince Aug 18, 2014 Accepting new patients
Acute Care Surgery Service at Akron Surgery CurrentSince Apr 1, 2015 Accepting new patients
Memorial Family Practice Associates LLC PastSince Nov 1, 2023 Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Partners Physician Group Surgery Past Accepting new patients

Locations

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

1825 Kingsley Ave
Ste 150
Orange Park, FL 32073
Phone (904) 264-5426

1 Akron General Ave
Ste 362
Akron, OH 44307

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1946 Town Park Blvd
Ste 110
Green, OH 44685
Phone (330) 344-7400

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: nali331211@direct.ccf.org
  • Direct secure messaging: syed.ali@hca5.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1114127693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 KINGSLEY AVE STE 150",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734478",
            "telephone_number": "904-264-5426",
            "fax_number": "904-264-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 KINGSLEY AVE STE 150",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734478",
            "telephone_number": "904-264-5426",
            "fax_number": "904-264-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "NOAMAN",
        "middle_name": "SYED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301090762",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-121257",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME164623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086219",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "ALI",
            "middle_name": "NOAMAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.