Individual provider Active NPI

Kasim M Ali, MD

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1275876120
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036140613 Issued in IL
Practice address
20 York St
New Haven, CT 06510
Phone
(203) 737-4695
NPI assigned
Mar 28, 2013
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036140613 IL Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510

Mailing address

200 Waterford Dr
Willowbrook, IL 60527-5457
Phone (630) 235-2454

Other practice location 1

200 Waterford Dr
Willowbrook, IL 60527-5457
Phone (630) 235-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801002697 TX Practitioner - Diagnostic Radiology 1254623895 Reassigns benefits to 2 organizations
I20230623000071 GA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 1254623895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegiance Imaging and Radiology LLCGroup PAC ID 3577838689, 12 clinicians

Practice addresses (Care Compare)

15018 Crape Myrtle Rd
Frisco, TX 75035-1376
Phone (630) 235-2454

2801 N Decatur Rd
Suite 100
Decatur, GA 30033-5924
Phone (404) 937-3046

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Sports & Spine Imaging, LLC CurrentSince Feb 24, 2023 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Jul 10, 2019 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Apr 23, 2023 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology Past Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 66)

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

450 Avon Belden Rd
Avon Lake, OH 44012
Phone (440) 930-6800

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

3574 Center Rd
Brunswick, OH 44212
Phone (330) 225-8886

17747 Chillicothe Rd
Ste 100
Chagrin Falls, OH 44023
Phone (440) 543-8855

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

330 Broadway St E
Cuyahoga Fls, OH 44221
Phone (330) 436-0910

13944 Euclid Ave
East Cleveland, OH 44112
Phone (216) 431-4131

303 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 204-7400

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1275876120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WATERFORD DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275457",
            "telephone_number": "630-235-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-737-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Waterford Dr",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605275457",
            "country_code": "US",
            "telephone_number": "630-235-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "KASIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036140613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.