Individual provider Active NPI

Imran Ali-Bandesha, MD

  • Internal Medicine Physician
  • Waco, TX
National Provider Identifier
1306468830
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V5487 Issued in TX
Practice address
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone
(254) 202-2000
Fax
(254) 202-5651
NPI assigned
May 6, 2020
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V5487 TX Primary
Hospitalist Physician 208M00000X 324283 NY

Addresses

Primary practice location

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Mailing address

PO Box 848491
Dallas, TX 75284-8491
Phone (254) 202-9330

Other practice location 1

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7585

Other names 1

  • Imran Ali Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iali1427229@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231028000052 NY Practitioner - Internal Medicine 4385090240 Reassigns benefits to 1 organization
I20240322000767 NM Practitioner - Hospitalist 4385090240 Reassigns benefits to 3 organizations
I20250423001131 TX Practitioner - Internal MedicinePractitioner - Hospitalist 4385090240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Hillcrest Physician ServicesGroup PAC ID 1153304456, 114 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Practice addresses (Care Compare)

1 Medical Plaza
Pampa, TX 79065-2819
Phone (806) 665-3721

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000

140 Hillcrest Medical Blvd
Waco, TX 76712-8897

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

50 Hillcrest Medical Blvd
Waco, TX 76712-8955

50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
County of Ward CurrentSince Jan 1, 2026 Accepting new patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients
County of Ward Single Specialty CurrentSince Jan 6, 2026 Accepting new patients
Las Cruces HB Medical Services LLC Single Specialty CurrentSince Mar 8, 2024 Accepting new patients
Hillcrest Physician Services Single Specialty CurrentSince Apr 16, 2025 Accepting new patients
Wyckoff Professional Medical Services, PC Single Specialty CurrentSince Sep 6, 2023 Accepting new patients
County of Ward CurrentSince Jan 1, 2026 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
Otero County Hospital Association Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Western Mountain Hospital Physicians PLLC Single Specialty CurrentSince Oct 15, 2024 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
Hillcrest Baptist Medical Center Single Specialty Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1306468830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848491",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848491",
            "telephone_number": "254-202-9330",
            "fax_number": "254-202-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128897",
            "telephone_number": "254-202-2000",
            "fax_number": "254-202-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7585",
            "fax_number": "718-486-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI-BANDESHA",
        "first_name": "IMRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V5487",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "324283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iali1427229@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Hillcrest Medical Blvd",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IMRAN",
            "last_name": "ALI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.