Individual provider Active NPI

Shaukat Ali, M.D.

  • Interventional Cardiology Physician
  • Fresno, CA
National Provider Identifier
1154521540
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A100025 Issued in 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
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A100025 CA
Interventional Cardiology Physician 207RI0011X A100025 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070824000699 CA Practitioner - Cardiovascular Disease (Cardiology) 2163514894 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Varicose vein removal1-10
Leg revascularization (restoring blood flow)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100025CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Jul 15, 2012 Accepting new patients
Community Foundation Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Sep 15, 2012 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Trinity Home Health Services CurrentSince Jul 15, 2012 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Sep 15, 2012 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Community Hospitalist Medical Group Inc. Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 N Medical Center Dr E
Ste 125
Clovis, CA 93611
Phone (559) 439-6808

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1313 E Herndon Ave
#209
Fresno, CA 93720

1313 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 439-6808

1313 E Herndon Ave
Ste 202
Fresno, CA 93720
Phone (559) 237-9118

1313 E Herndon Ave
Ste 203
Fresno, CA 93720
Phone (559) 439-6808

1313 E Herndon Ave
Ste 207
Fresno, CA 93720
Phone (559) 435-5920

1313 E Herndon Ave
Ste 209
Fresno, CA 93720

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

30 E River Park Pl W
Ste 440
Fresno, CA 93720
Phone (559) 256-5500

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

Interoperability endpoints

  • Direct secure messaging: shaukat.ali.p1@direct.ciocc.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1154521540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAUKAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A100025",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A100025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.