Individual provider Active NPI

Ahmed Syed Ali, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Florissant, MO
National Provider Identifier
1194887265
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301089175 Issued in MI
Practice address
1025 Dunn Rd
Florissant, MO 63031-8205
Phone
(314) 736-1333
Fax
(314) 736-1336
NPI assigned
Dec 15, 2006
Last updated
Aug 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301089175 MI Primary

Addresses

Primary practice location

1025 Dunn Rd
Florissant, MO 63031-8205

Mailing address

PO Box 6441
Chesterfield, MO 63006-6441
Phone (314) 736-1333

Other practice location 1

1548 Woodlake Dr
Chesterfield, MO 63017-5712
Phone (314) 736-1333

Other practice location 2

3915 Watson Rd Ste 205
Saint Louis, MO 63109-1251
Phone (314) 736-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090812000493 MO Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Geriatric Medicine 4880783885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Geriatric Medicine, Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florissant Medical Rehab Group LLCGroup PAC ID 2769763812, 2 clinicians

Practice addresses (Care Compare)

1025 Dunn Rd
Florissant, MO 63031-8205
Phone (314) 736-1333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089175MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care LLC CurrentSince Jun 25, 2013 Accepting new patients
SSM Select Rehab St. Louis, LLC CurrentSince Jul 3, 2010 Accepting new patients
Florissant Medical Rehab Group LLC Physical Medicine & Rehabilitation CurrentSince Oct 28, 2016 Accepting new patients
Saint Anthony's Physician Group Past Accepting new patients

Locations

3572 Solutions Ctr
Chicago, IL 60677

4 Arnold Mall
Arnold, MO 63010
Phone (636) 282-0056

1548 Woodlake Dr
Chesterfield, MO 63017
Phone (314) 576-3737

1025 Dunn Rd
Florissant, MO 63031
Phone (314) 736-7333

100 Medical Plz
Fl 5
Lake St Louis, MO 63367
Phone (636) 625-5200

3915 Watson Rd
Ste 205
Saint Louis, MO 63109
Phone (314) 481-3843

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1194887265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6441",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630066441",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318205",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1548 Woodlake Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630175712",
            "country_code": "US",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Watson Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631091251",
            "country_code": "US",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "AHMED",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301089175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.