Organization Active NPI

Abbas Ali MD SC

  • Pulmonary Disease Physician
  • Milwaukee, WI
National Provider Identifier
1174949523
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
42044-20 Issued in WI
Legal business name
ABBAS ALI MD SC
Practice address
7733 W Burleigh St
Milwaukee, WI 53222-5003
Phone
(262) 328-4232
Fax
(414) 562-6924
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Abbas Ali, MDNPI 1336163690
Title
President/Owner
Phone
(414) 759-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 42044-20 WI
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 42044-20 WI Primary

Addresses

Primary practice location

7733 W Burleigh St
Milwaukee, WI 53222-5003

Mailing address

10843 N Pebble LN
Mequon, WI 53092-5828
Phone (414) 759-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140423001399 WI Part B Supplier - Clinic/Group Practice 6305079500 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, WI; Pewaukee, WI; Milwaukee, WI; Mequon, WI; Elkhorn, WI; Greenfield, WI; Brookfield, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1174949523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10843 N PEBBLE LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925828",
            "telephone_number": "414-759-7764",
            "fax_number": "414-562-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225003",
            "telephone_number": "262-328-4232",
            "fax_number": "414-562-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS ALI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "414-759-7764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "42044-20",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "42044-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.