Individual provider Active NPI

Iman H Ali, MD

  • Specialist
  • Bedford, TX
National Provider Identifier
1164466272
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K9974 Issued in TX
Practice address
2036 Bedford Rd
Bedford, TX 76021-5709
Phone
(817) 685-8018
Fax
(817) 685-9484
NPI assigned
Jun 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K9974 TX Primary

Addresses

Primary practice location

2036 Bedford Rd
Bedford, TX 76021-5709

Mailing address

2036 Bedford Rd
Bedford, TX 76021-5709
Phone (817) 685-8018

Other identifiers 2

IdentifierTypeStateIssuer
0303661-01MedicaidTX
K 9974OtherTXLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041022000791 TX Practitioner - RheumatologyPractitioner - Internal Medicine 0547221541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2036 Bedford Rd
Bedford, TX 76021-5709
Phone (817) 685-9490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20014OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iman Ali MD PA Specialist CurrentSince Oct 13, 2004 Accepting new patients
Orthopedic and Reconstructive Center P C Past Accepting new patients
C L Soo MD PC Past Accepting new patients

Locations

2036 Bedford Rd
Bedford, TX 76021
Phone (817) 685-8018

Organizations & group practices 3

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 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164466272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215709",
            "telephone_number": "817-685-8018",
            "fax_number": "817-685-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215709",
            "telephone_number": "817-685-8018",
            "fax_number": "817-685-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "IMAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K9974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0303661-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "K 9974",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.