Individual provider Active NPI

Malik S Ali, MD

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1124037437
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41835 Issued in WI
Practice address
5434 W Capitol Dr
Unit 3
Milwaukee, WI 53216-2298
Phone
(414) 875-0505
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41835 WI Primary

Addresses

Primary practice location

5434 W Capitol Dr
Unit 3
Milwaukee, WI 53216-2298

Mailing address

5434 W Capitol Dr
Unit 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

Other identifiers 1

IdentifierTypeStateIssuer
33332000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101119001171 WI Practitioner - Internal Medicine 0840486569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

Hospital & facility affiliations

  • Holistic Hospice Hospice, Greenfield, WI, CCN 521601
  • Edenbrook Lakeside Nursing home, Milwaukee, WI, CCN 525319
  • Bradley Estates Nursing and Rehab LLC Nursing home, Milwaukee, WI, CCN 525325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41835WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Mar 1, 2016 Accepting new patients
Independent Physicians of Wisconsin, LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Midwest Urgent Medical Services LLC Past Accepting new patients
Karim Bakhtiar MD SC Internal Medicine PastSince Jan 1, 2000 Accepting new patients

Locations

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

5434 W Capitol Dr
Ste 4
Milwaukee, WI 53216
Phone (414) 447-1227

5434 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 442-5400

2603 W Rawson Ave
Ste 113
Oak Creek, WI 53154
Phone (414) 431-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19178/brand/1/csg/1/fhir/r4
  • Direct secure messaging: malik.ali.1@18758.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holistic Hospice IncGreenfield, WI, CCN 521601 Hospice Operational/Managerial Control Jan 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1124037437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 W CAPITOL DR",
            "address_2": "UNIT 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162298",
            "telephone_number": "414-875-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 W CAPITOL DR",
            "address_2": "UNIT 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162298",
            "telephone_number": "414-875-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MALIK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "41835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33332000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.