Shaukat Ali, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Fresno, CA
NPI 1154521540 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1154521540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- A100025 (CA)
- Practice address
- 1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306 - Phone
- (559) 439-6808
- Fax
- (559) 439-9335
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Foundation Medical Group
Saint Agnes Medical Center
Fresno Community Hospital and Medical Center
Practice addresses (Care Compare)
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000
1313 E Herndon Ave
Suite 101B/202 207/209
Fresno, CA 93720-3306
Phone (559) 439-6808
2335 E Kashian LN
Fresno, CA 93701-2234
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327
726 N Medical Ctr Dr E
Suite 125
Clovis, CA 93611-6882
Phone (559) 439-6808
Hospital & facility affiliations
- Saint Agnes Medical Center
- Community Regional Medical Center
- Clovis Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 48 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000699 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 2163514894 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100025 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Community Hospital and Medical Center | Current |
Accepting new patients | |
| Community Foundation Medical Group | Current |
Accepting new patients | |
| Saint Agnes Medical Center | Cardiovascular Disease | Current |
Accepting new patients |
| Fresno Community Hospital and Medical Center | Current |
Accepting new patients | |
| Community Foundation Medical Group | Current |
Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Trinity Home Health Services | Current |
Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Community Hospitalist Medical Group Inc. | Past | Accepting new patients |
Locations
726 N Medical Center Dr E
Ste 125
Clovis, CA 93611
Phone (559) 439-6808
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
30 E River Park Pl W
Ste 440
Fresno, CA 93720
Phone (559) 256-5500
1313 E Herndon Ave
Ste 209
Fresno, CA 93720
1313 E Herndon Ave
Ste 203
Fresno, CA 93720
Phone (559) 439-6808
7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930
1313 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 439-6808
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
1313 E Herndon Ave
Ste 207
Fresno, CA 93720
Phone (559) 435-5920
1313 E Herndon Ave
Ste 202
Fresno, CA 93720
Phone (559) 237-9118
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
1313 E Herndon Ave
#209
Fresno, CA 93720
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
Interoperability endpoints
- shaukat.ali.p1@direct.ciocc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A100025 | CA | |
| Interventional Cardiology Physician | 207RI0011X | A100025 | CA | Yes |
Addresses
Primary practice location
1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Mailing address
1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Phone (559) 439-6808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1000250 | Medicaid | CA | |
| A100025 | Other | CA | CALIFORNIA MEDICAL LICENS |
Other providers in Fresno, CA
- Ana Ali
- Ana Ali
- Ayesha Amjad Ali
- Faizah Nabihah Ali
- Harun Marvin Ali
- Sue S Ali
- Joseph Austin Alibo
- Mahda Alihashemi
- Joseph Alimasuya
- Ashley Aliotti
All providers in Fresno, CA · Interventional Cardiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.