Individual provider Active NPI

Madad Ali, M.D.

  • Gastroenterology Physician
  • Harvey, IL
National Provider Identifier
1376564815
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036140847 Issued in IL
Practice address
1 Ingalls Dr
Harvey, IL 60426-3558
Phone
(855) 826-3878
NPI assigned
Jul 21, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X U2767 TX
Gastroenterology Physician 207RG0100X 2002027101 MO
Gastroenterology Physician 207RG0100X 121321 NY
Gastroenterology Physician 207RG0100X 47868 TX
Gastroenterology Physician 207RG0100X 25MA03726400 NJ
Gastroenterology Physician 207RG0100X 99999 TX
Internal Medicine Physician 207R00000X 47868 TX
Internal Medicine Physician 207R00000X 99999 TX
Internal Medicine Physician 207R00000X U2767 TX
Gastroenterology Physician 207RG0100X MD451324 PA
Gastroenterology Physician 207RG0100X 036140847 IL Primary

Addresses

Primary practice location

1 Ingalls Dr
Harvey, IL 60426-3558

Mailing address

1 Ingalls Dr
Harvey, IL 60426-3558

Other practice location 1

14 Morrison St
Closter, NJ 07624-1129
Phone (573) 727-6581

Other practice location 2

125 River Rd Ste 103
Edgewater, NJ 07020-1002
Phone (201) 969-2111

Other practice location 3

802 N Riverside Rd Ste 220
Saint Joseph, MO 64507-2509
Phone (816) 271-7074

Other practice location 4

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-8890

Other identifiers 3

IdentifierTypeStateIssuer
174360OtherMOALLIANCE BLUE CROSS BLUE SHIELD
206012700MedicaidMO
103215762MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, NJ, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160816002108 IL Practitioner - Gastroenterology 8325180565 Reassigns benefits to 1 organization
I20161201000908 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 8325180565 Reassigns benefits to 4 organizations
I20200617001185 NJ Practitioner - Gastroenterology 8325180565 Reassigns benefits to 1 organization
I20220825003656 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 8325180565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99999TXMDPastoral Counselor
036140847ILMDGastroenterology Physician
2002027101MOMDGastroenterology Physician
121321NYMDGastroenterology Physician
U2767TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 12, 2020 Accepting new patients
Meadville Medical Center Internal Medicine CurrentSince Mar 31, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince May 12, 2020 Accepting new patients
Meadville Medical Center CurrentSince Mar 31, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Aug 8, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jun 26, 2017 Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Hendrick Medical Center Brownwood Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Ucm Medical Group Sub, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Meadville Medical Center CurrentSince Mar 31, 2025 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Wellspan Medical Group CurrentSince Jun 26, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Oct 17, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Oct 17, 2016 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Aug 8, 2022 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Feb 1, 2024 Accepting new patients
Meadville Physician Services Internal Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Madad Ali, MD Gastroenterology PastSince Jan 1, 1990 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

125 River Rd
Ste 103
Edgewater, NJ 07020
Phone (201) 969-2111

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2371 Crockett Dr
Ste 102
Brownwood, TX 76801
Phone (325) 341-1140

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

7200 Cambridge St
Fl 8
Houston, TX 77030
Phone (713) 798-2400

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 21

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 21

Hospital & facility affiliations 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1376564815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "855-826-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Morrison St",
            "address_purpose": "LOCATION",
            "city": "Closter",
            "state": "NJ",
            "postal_code": "076241129",
            "country_code": "US",
            "telephone_number": "573-727-6581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 River Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201002",
            "country_code": "US",
            "telephone_number": "201-969-2111",
            "fax_number": "201-969-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 N Riverside Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072509",
            "country_code": "US",
            "telephone_number": "816-271-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MADAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U2767",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2002027101",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "121321",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "47868",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03726400",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "99999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "47868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "99999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U2767",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD451324",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036140847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE BLUE CROSS BLUE SHIELD",
            "identifier": "174360",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206012700",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103215762",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.