Individual provider Active NPI

Sharmarke Mohamed Ali

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1285120642
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025441 Issued in OH
Practice address
3240 Whitfield Ave Apt 308
Cincinnati, OH 45220-2316
Phone
(614) 592-2932
NPI assigned
Jul 9, 2018
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH
Dentist 122300000X 30.025441 OH Primary

Addresses

Primary practice location

3240 Whitfield Ave Apt 308
Cincinnati, OH 45220-2316

Mailing address

3240 Whitfield Ave Apt 308
Cincinnati, OH 45220-2316
Phone (614) 592-2932

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001269 OH Order and Referring Only - DentistPractitioner - Dentist 4183957061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025441OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care LLC Current Accepting new patients
Bright Health Care Inc Home Health Current Accepting new patients

Organizations & group practices 2

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1285120642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 WHITFIELD AVE APT 308",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202316",
            "telephone_number": "614-592-2932",
            "fax_number": "614-737-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 WHITFIELD AVE APT 308",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202316",
            "telephone_number": "614-592-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHARMARKE",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.