Individual provider Active NPI

Ali Hammad, M.D

  • Cardiovascular Disease Physician
  • Pittsburg, KS
National Provider Identifier
1154354892
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0428445 Issued in KS
Practice address
1300 E Centennial Dr
Pittsburg, KS 66762-6650
Phone
(620) 232-5705
Fax
(620) 232-5538
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1999137423 MO
Interventional Cardiology Physician 207RI0011X 04-35385 KS
Cardiovascular Disease Physician 207RC0000X 0428445 KS Primary

Addresses

Primary practice location

1300 E Centennial Dr
Pittsburg, KS 66762-6650

Mailing address

1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (620) 232-5705

Other identifiers 3

IdentifierTypeStateIssuer
103814OtherKSBLUE CROSS BLUE SHIELD
100015080AMedicaidOK
100360810CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040805000055 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1850362542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

1300 E Centennial Dr
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6650
Phone (602) 232-5705

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1999137423MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pittsburg LLC Cardiovascular Disease CurrentSince Jul 23, 2024 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Sjmgroup Past Accepting new patients

Locations

1300 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 230-0044

1300 E Centennial Dr
Ste 10
Pittsburg, KS 66762
Phone (620) 231-5965

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

Organizations & group practices 5

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 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1154354892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-232-5705",
            "fax_number": "620-232-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626650",
            "telephone_number": "620-232-5705",
            "fax_number": "620-232-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAD",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "1999137423",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-35385",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0428445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "103814",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100015080A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360810C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.