Individual provider Active NPI

Mohammad T. Ali, M.D.

  • Pediatrics Physician
  • Waverly, OH
National Provider Identifier
1265406151
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-076438 Issued in OH
Practice address
227 Valley View Dr
Waverly, OH 45690-9135
Phone
(740) 947-7726
Fax
(740) 947-9354
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-076438 OH Primary

Addresses

Primary practice location

227 Valley View Dr
Waverly, OH 45690-9135

Mailing address

227 Valley View Dr
Waverly, OH 45690-9135
Phone (740) 947-7726

Other practice location 1

227 Valleyview Dr
Waverly, OH 45690
Phone (740) 947-7726

Other identifiers 1

IdentifierTypeStateIssuer
2119317MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080408000557 OH Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3072690551 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076438OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Teladoc Health Medical Group, P.a. Pediatrics CurrentSince Dec 2, 2021 Accepting new patients
Community Action Committee of Pike County Past Accepting new patients
Epmg of Ohio Inc P a PastSince Aug 3, 2025 Accepting new patients
Community Action Committee of Pike County Past Accepting new patients

Locations

941 Market St
Piketon, OH 45661
Phone (740) 289-2371

227 Valley View Dr
Waverly, OH 45690
Phone (740) 947-7726

1945 Lakepointe Dr
Ste 100
Lewisville, TX 75057
Phone (855) 224-7315

Interoperability endpoints

  • Direct secure messaging: mohammad.ali@vvhcw.eclinicaldirectplus.com
  • Direct secure messaging: mohammad.ali@somc.medicity.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1265406151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Valleyview Dr",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "45690",
            "country_code": "US",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMMAD",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-076438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.