Individual provider Active NPI

Marwan M. Ali, MD, MBA

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1265696660
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
125238 Issued in CA
Practice address
100 Howe Ave Ste 186N
Sacramento, CA 95825-8219
Phone
(916) 603-5600
Fax
(855) 815-4684
NPI assigned
Jul 15, 2008
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 125238 CA Primary

Addresses

Primary practice location

100 Howe Ave Ste 186N
Sacramento, CA 95825-8219

Mailing address

1645 Creekside Dr
Folsom, CA 95630-3832
Phone (916) 603-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180625002984 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician)Practitioner - Medical Genetics and Genomics 5092961094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Medical Genetics and Genomics
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Howe Ave
Suite 186N
Sacramento, CA 95825-8219
Phone (916) 890-9673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125238CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Maternal & Fetal Medicine CurrentSince Mar 20, 2020 Accepting new patients
California Maternal Fetal Medicine Inc Maternal & Fetal Medicine CurrentSince Oct 9, 2019 Accepting new patients
Obesity Treatment Center, a Medical Corporation CurrentSince Jan 6, 2022 Accepting new patients
Valley Children's Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 20, 2020 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1645 Creekside Dr
Folsom, CA 95630
Phone (916) 603-5600

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

100 Howe Ave
Ste 186N
Sacramento, CA 95825
Phone (916) 603-5600

1792 Tribute Rd
Ste 200
Sacramento, CA 95815
Phone (916) 678-5400

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 2500
Sacramento, CA 95817
Phone (916) 734-6930

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Interoperability endpoints

  • Direct secure messaging: marwan.ali.1@20703.direct.athenahealth.com
  • Direct secure messaging: marwan.alimd.p1@direct.schc.nextgenshare.com

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1265696660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303832",
            "telephone_number": "916-603-5600",
            "fax_number": "558-154-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOWE AVE STE 186N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258219",
            "telephone_number": "916-603-5600",
            "fax_number": "855-815-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MARWAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "125238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.