Active NPI
Syeda Ali, MD
- Family Medicine Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036130850
- Practice address
- 1315 N Highland Ave Ste 200
Aurora, IL 60506-1460 - Phone
- (630) 906-7801
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036130850 | IL | Primary |
Addresses
Primary practice location
1315 N Highland Ave Ste 200
Aurora, IL 60506-1460
Mailing address
1315 N Highland Ave Ste 200
Aurora, IL 60506-1460
Phone (630) 906-7801
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sali205298@direct.myadvocateaurora.org | Direct | |
| FHIR URL | http://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121018000567 | IL | Practitioner - Family Practice | 5092965525 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036130850 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Kishwaukee Physician Group Inc | Family Medicine | Past | Accepting new patients |
| Kishwaukee Physician Group, Inc. | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
1315 N Highland Ave
Ste 200
Aurora, IL 60506
Phone (630) 844-6600
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
Interoperability endpoints
- https://api.platform.athenahealth.com/8426/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Family Medicine, IL
-
- Durable Medical Equipment & Medical Supplies
- Sycamore, IL
- NPI 1679933139
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Healthcare Illinois Medical Group LLC
Practice addresses (Care Compare)
1315 N Highland Ave
Suite 200
Aurora, IL 60506-1460
Phone (630) 906-7801
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
201 N Hammes Ave
Joliet, IL 60435-6611
Phone (224) 273-6350
Hospital & facility affiliations
- Presence Mercy Medical Center
- Saint Joseph Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1265732176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N HIGHLAND AVE STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605061460",
"telephone_number": "630-906-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N HIGHLAND AVE STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605061460",
"telephone_number": "630-906-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SYEDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036130850",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sali205298@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6345 W 79th St",
"city": "Burbank",
"state": "IL",
"country_code": "US",
"postal_code": "604591133",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "http://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU/",
"affiliation": "N",
"address_1": "6345 W 79th St",
"city": "Burbank",
"state": "IL",
"country_code": "US",
"postal_code": "604591133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.