Individual provider Active NPI

Eyad M Ali, MD

  • Gastroenterology Physician
  • Hampton Bays, NY
National Provider Identifier
1184653776
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
212118 Issued in NY
Practice address
332 W Montauk Hwy
Suite 1
Hampton Bays, NY 11946-3551
Phone
(631) 723-0600
Fax
(631) 723-0003
NPI assigned
Jul 3, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 212118 NY Primary

Addresses

Primary practice location

332 W Montauk Hwy
Suite 1
Hampton Bays, NY 11946-3551

Mailing address

332 W Montauk Hwy
Suite 1
Hampton Bays, NY 11946-3551
Phone (631) 723-0600

Other identifiers 1

IdentifierTypeStateIssuer
02110052MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060222000725 NY Practitioner - Gastroenterology 1759397193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

332 W Montauk Hwy
Suite 1
Hampton Bays, NY 11946-3551
Phone (631) 723-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212118NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Forks Gastroenterology & Hepatology, PC Gastroenterology CurrentSince Feb 25, 2009 Accepting new patients

Locations

332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600

34 E Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 702-8900

Interoperability endpoints

  • Direct secure messaging: eali520652@nyumc.direct-ci.com

Organizations & group practices 2

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 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1184653776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W MONTAUK HWY",
            "address_2": "SUITE 1",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463551",
            "telephone_number": "631-723-0600",
            "fax_number": "631-723-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W MONTAUK HWY",
            "address_2": "SUITE 1",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463551",
            "telephone_number": "631-723-0600",
            "fax_number": "631-723-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "EYAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "212118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.