NPIMap

Individual provider Active NPI

Mustafa Mohammed Ali, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1184857138
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.125203 Issued in IL
Practice address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone
(202) 741-3000
NPI assigned
Aug 25, 2009
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.125203 IL Primary
Nephrology Physician 207RN0300X 036.125203 IL

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Other identifiers 3

IdentifierTypeStateIssuer
3932056OtherILBCBS
721089OtherILAETNA
036125203MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000694 IL Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4789709858 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of Illinois, LLCGroup PAC ID 9931339546, 4 clinicians

Practice addresses (Care Compare)

2040 W Devon Ave
Chicago, IL 60659-2128
Phone (773) 274-3060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125203ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Jun 19, 2018 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Aug 29, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 29, 2016 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Aug 29, 2016 Accepting new patients
KND Development 59, LLC CurrentSince Nov 1, 2013 Accepting new patients
Kidney Care at Home LLC Current Accepting new patients
Kidney Specialists of Illinois LLC Nephrology CurrentSince Jan 19, 2014 Accepting new patients
Proctor Health Systems CurrentSince Aug 29, 2016 Accepting new patients
S & T Behavioral Health and Medical Consultants Inc. CurrentSince Feb 1, 2026 Accepting new patients
Community First Healthcare of Illinois, Inc. Current Accepting new patients
KND Development 59, LLC CurrentSince Nov 1, 2013 Accepting new patients
Community First Healthcare of Illinois, Inc. Internal Medicine CurrentSince Jun 19, 2018 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
Martin J. Szanto, M.D., S.C. Internal Medicine Past Accepting new patients

Locations

2040 W Devon Ave
Chicago, IL 60659
Phone (773) 274-3060

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

2740 W Foster Ave
Ste 101
Chicago, IL 60625
Phone (773) 545-9500

5140 N California Ave
Ste 700
Chicago, IL 60625
Phone (773) 784-2101

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

6300 N Lincoln Ave
Chicago, IL 60659
Phone (773) 267-5111

6374 N Lincoln Ave
Ste 201
Chicago, IL 60659
Phone (773) 501-6203

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1184857138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MUSTAFA",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.125203",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.125203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3932056",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "721089",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125203",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.