Ehab Ali, M.D.
Individual provider Active NPI Internal Medicine Physician · Defiance, OH
NPI 1346680907 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1346680907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35135559 (OH)
- Practice address
- 1400 E 2ND St
Defiance, OH 43512-2440 - Phone
- (419) 784-1414
- Fax
- (419) 783-2799
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Medical Partners Northern Region LLC
Practice addresses (Care Compare)
1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414
Hospital & facility affiliations
- Ohioans Home Healthcare, Inc
- Elara Caring
- Mercy Health - Defiance Hospital
- Henry County Hospital, Inc
- Mercy St Vincent Medical Center
- Community Hospitals and Wellness Centers
- Lutheran Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190910000651 | OH | Practitioner - Internal Medicine | 7911209622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2016-0568 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Partners Northern Region LLC | Multi-Specialty | Current |
Accepting new patients |
| Mercy Medical Partners Northern Region LLC | Current |
Accepting new patients | |
| Lutheran Homes Society, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Multi-Specialty | Past | Accepting new patients |
| Residential Hospice, LLC | Past | Accepting new patients |
Locations
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
Interoperability endpoints
- aehab662358@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD2016-0568 | NM | |
| Internal Medicine Physician | 207R00000X | 35135559 | OH | Yes |
Addresses
Primary practice location
1400 E 2ND St
Defiance, OH 43512-2440
Mailing address
2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Other providers in Defiance, OH
- 2Daughters, LLC
- Solomon Abumere
- Jessica Adams
- Souheil Al-Jadda
- Allcaring Home Health Services LLC
- Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery
- Christine M Alt
- Jalen R Alvarez
- Kholoud K. Amrou
All providers in Defiance, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.