Mohamed F Ali, M.D.

Individual provider Active NPI Obstetrics Physician · Fall River, MA

NPI 1124122270 · NPPES record last updated Oct 2, 2012

Key facts

NPI
1124122270
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics Physician 207VX0000X
License
35749 (MA)
Practice address
373 New Boston Rd
Fall River, MA 02720-5814
Phone
(508) 679-0911
Fax
(508) 736-0310
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

373 New Boston Rd
Fall River, MA 02720-5814

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital · Fall River, MA · CCN 220074

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050408000358 MA Practitioner - Obstetrics/Gynecology 1850346396

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35749MAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GYN-OB Associates Inc Current
since Feb 1, 1974
Accepting new patients
Citizens for Citizens, Inc. Current
since Aug 1, 2014
Accepting new patients
Citizens for Citizens, Inc. Current
since Aug 1, 2014
Accepting new patients
New Boston Road Surgi Center LLC Past
since Mar 28, 2013
Accepting new patients

Locations

373 New Boston Rd
Ste 2
Fall River, MA 02720
Phone (508) 679-0911

337 Hanover St
Fall River, MA 02720
Phone (508) 679-0198

373 New Boston Rd
Fall River, MA 02720
Phone (508) 679-0054

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

Interoperability endpoints

  • Direct secure messaging: mali@gynob.emadirect.md

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 35749 MA Yes

Addresses

Primary practice location

373 New Boston Rd
Fall River, MA 02720-5814

Mailing address

373 New Boston Rd
Fall River, MA 02720-5814
Phone (508) 679-0911

Other identifiers

IdentifierTypeStateIssuer
130862OtherMAHARVARD PILGRIM
0012260OtherMANHP-MA
035749OtherMATUFTS
3419091OtherMACIGNA
USHC2326642OtherMAAETNA

Other providers in Fall River, MA

All providers in Fall River, MA · Obstetrics Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.