Active NPI
Malik S Ali, MD
- Internal Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33332000 | Medicaid | WI |
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
Enrollment records 1
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
Practice addresses (Care Compare)
5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505
Hospital & facility affiliations
- Holistic Hospice
- Edenbrook Lakeside
- Bradley Estates Nursing and Rehab LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41835 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians of Wisconsin, LLC | Current | Accepting new patients | |
| Independent Physicians of Wisconsin, LLC | Internal Medicine | Current | Accepting new patients |
| Midwest Urgent Medical Services LLC | Past | Accepting new patients | |
| Karim Bakhtiar MD SC | Internal Medicine | Past | 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
- https://api.platform.athenahealth.com/19178/brand/1/csg/1/fhir/r4
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Holistic Hospice Inc | 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.
-
- Community Based Hospice Care Agency
- Greenfield, WI
- NPI 1720523210
Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1871975920
-
- Durable Medical Equipment & Medical Supplies
- Kenosha, WI
- NPI 1588255996
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1982718979
-
- Urgent Care Clinic/Center
- Oak Creek, WI
- NPI 1215982491
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1255048401
Nursing home
-
- Community Based Hospice Care Agency
- Greenfield, WI
- NPI 1720523210
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1053803031
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.