Ali Mostafa Serhal, M.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036151554 Issued in IL

Practice address

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978

Phone

(312) 695-3775

Fax

(312) 695-5645

NPI assigned

Apr 13, 2017

Reactivated

Dec 13, 2017

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TX2 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

Specialty

Diagnostic Radiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians

Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
• Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Merit-based Incentive Payment System (MIPS)

Final score

95.19 of 100Reported as apm

Quality

83.05

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.75 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Illinois Radiological Associates, LTD.

  dba Central Illinois Radiological Associates

  • Diagnostic Radiology Physician
  • Peoria, IL
  • NPI 1538192828

  TX

  Medicare reassignment Care Compare group NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120
  Medicare reassignment Care Compare group NPD
• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment Care Compare group
• Oncology Consultants, P. a.

  • Hematology & Oncology Physician
  • Houston, TX
  • NPI 1679533418
  Medicare reassignment NPD
• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  TX

  Medicare reassignment
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Oncology Consultants, P. a.

  • Hematology & Oncology Physician
  • Pearland, TX
  • NPI 1174989859
  NPD
• Preferred Imaging of Amarillo, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Amarillo, TX
  • NPI 1235544669
  NPD
• Preferred Imaging of Austin LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Austin, TX
  • NPI 1437542818

  Diagnostic Radiology

  NPD
• Preferred Imaging of Corinth, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corinth, TX
  • NPI 1831328392
  NPD

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

• Northwestern Lake Forest Hospital

  dba Northwestern Medicine Lake Forest Hospital

  • General Acute Care Hospital
  • Lake Forest, IL
  • NPI 1124025176
  Care Compare affiliation
• Northwestern Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1497859649
  Care Compare affiliation
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  Care Compare affiliation
• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1366976631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978",
            "telephone_number": "312-695-3775",
            "fax_number": "312-695-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978",
            "telephone_number": "312-695-3775",
            "fax_number": "312-695-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 E. Huron St",
            "address_2": "Suite 1-203",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60617",
            "country_code": "US",
            "telephone_number": "312-503-6748",
            "fax_number": "312-503-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERHAL",
        "first_name": "ALI",
        "middle_name": "MOSTAFA",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "deactivation_date": "2017-11-17",
        "reactivation_date": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.069788",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Mental Health, PLLC
• Serenity Path Psychiatry & Wellness PLLC
• Serenity Shield Inc.
• Michelle Sergel, M.D.
• Ramsina Sergis, BSN, RN
• Muhamad Serhal, MD
• Peter Serina
• Jeremy Serio
• Varisa Mimi Serirodom, PHARM. D.
• Anusak Seriruk, DPM

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.

Verify at the official NPI Registry.