Individual provider Active NPI

Mir Namath Ali, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Richmond, VA
National Provider Identifier
1215469507
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0102206764 Issued in VA
Practice address
9020 Stony Point Pkwy Ste 140
Richmond, VA 23235-1944
Phone
(804) 330-0303
NPI assigned
Mar 28, 2017
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 0102206764 VA Primary

Addresses

Primary practice location

9020 Stony Point Pkwy Ste 140
Richmond, VA 23235-1944

Mailing address

200 S Davis Ave Apt 7115
Richmond, VA 23220-5135
Phone (419) 799-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210902001693 VA Practitioner - Physical Medicine and Rehabilitation 8022389766 Reassigns benefits to 1 organization
I20221206000089 DC Practitioner - Physical Medicine and Rehabilitation 8022389766 Reassigns benefits to 1 organization
I20221206000162 MD Practitioner - Physical Medicine and Rehabilitation 8022389766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 N la Plata CT
La Plata, MD 20646-4283
Phone (301) 392-3330

2021 K St NW
Suite 615
Washington, DC 20006-1066
Phone (301) 498-0383

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 22, 2022 Accepting new patients
Virginia I-Spine Physicians, P.C Physical Medicine & Rehabilitation CurrentSince Oct 1, 2021 Accepting new patients
Anesthesia Solutions PLLC CurrentSince Sep 28, 2021 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 22, 2022 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 22, 2022 Accepting new patients
Up Orthopedics LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295

12414 Naves Cross Rd NE
#408
Cumberland, MD 21502

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482

16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

6196 Oxon Hill Rd
Ste 200
Oxon Hill, MD 20745
Phone (301) 567-1114

12090 Old Line Ctr
#R10A
Waldorf, MD 20602
Phone (301) 498-0333

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

9020 Stony Point Pkwy
Ste 140
Richmond, VA 23235
Phone (804) 330-0303

Interoperability endpoints

  • Direct secure messaging: nali@precisionmsk.emadirect.md

Organizations & group practices 7

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 4

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1215469507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S DAVIS AVE APT 7115",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205135",
            "telephone_number": "419-799-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 STONY POINT PKWY STE 140",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351944",
            "telephone_number": "804-330-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR",
        "middle_name": "NAMATH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102206764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.