Sara Imtiaz Ali
Individual provider Active NPI Gastroenterology Physician · Newark, OH
NPI 1184158487 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1184158487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 2024-03450 (NC)
- Practice address
- 1717 West Main St Ste 203
Newark, OH 43055-1501 - Phone
- (220) 564-2950
- Fax
- (220) 564-2951
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Texas a & M University System, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Danville Physician Practices LLC
Wakemed Specialists Group LLC
Practice addresses (Care Compare)
109 Bridge St
Suite 202
Danville, VA 24541-1222
Phone (434) 792-5964
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7856
Hospital & facility affiliations
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
- Sovah Health Danville
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 75.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 31 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, NC
- 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 |
|---|---|---|---|---|
| I20241126001479 | VA | Practitioner - Gastroenterology | 4880055334 | Reassigns benefits to 1 organization |
| I20250417000700 | NC | Practitioner - Gastroenterology | 4880055334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Danville Physician Practices LLC | Current |
Accepting new patients | |
| Wakemed Specialists Group, LLC | Gastroenterology | Current | Accepting new patients |
| Danville Physician Practices LLC | Current |
Accepting new patients | |
| Wakemed Specialists Group, LLC | Gastroenterology | Current |
Accepting new patients |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| DLP Frye Medical Group LLC | Past | Accepting new patients |
Locations
110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2600 Atlantic Ave
Raleigh, NC 27604
Phone (919) 881-9999
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Interoperability endpoints
- sali574581@directhisp.wakemed.org
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- sara.ali.1@19847.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2024-03450 | NC | Yes |
| Gastroenterology Physician | 207RG0100X | 35.148566 | OH |
Addresses
Primary practice location
1717 West Main St Ste 203
Newark, OH 43055-1501
Mailing address
5832 Genesee Dr
Durham, NC 27712-1222
Phone (281) 975-8186
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sali34455@lickingmemorial.medicity.net |
Other providers in Newark, OH
- Jennifer Aikey
- Beka Alazar
- Frederick J Albertine
- Rhonda F Albright
- Savannah Dare Alderson
- Alizoh Medix LLC
- Christine Marie Allen
- Erin Allen
- Heather Allen
- Nancy A Allen
All providers in Newark, OH · Gastroenterology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. 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.