Active NPI
Madad Ali, M.D.
- Gastroenterology Physician
- Harvey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036140847
- Practice address
- 1 Ingalls Dr
Harvey, IL 60426-3558 - Phone
- (855) 826-3878
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174360 | Other | MO | ALLIANCE BLUE CROSS BLUE SHIELD |
| 206012700 | Medicaid | MO | |
| 103215762 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, PA, NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99999 | TX | MD | Pastoral Counselor |
| 036140847 | IL | MD | Gastroenterology Physician |
| 2002027101 | MO | MD | Gastroenterology Physician |
| 121321 | NY | MD | Gastroenterology Physician |
| U2767 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Meadville Medical Center | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Meadville Medical Center | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Hendrick Medical Center Brownwood | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Hendrick Medical Center Brownwood | Internal Medicine | Current | Accepting new patients |
| Ucm Medical Group Sub, LLC | Internal Medicine | Current | Accepting new patients |
| Meadville Medical Center | Current | Accepting new patients | |
| Wellspan Medical Group | Gastroenterology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Hendrick Provider Network | Internal Medicine | Current | Accepting new patients |
| Hendrick Provider Network | Current | Accepting new patients | |
| Meadville Physician Services | Internal Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Madad Ali, MD | Gastroenterology | Past | 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
- 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.
-
dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
dba Hendrick Physician Group Brownwood
- Internal Medicine Physician
- Brownwood, TX
- NPI 1245084169
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
-
- Skilled Nursing Facility
- Meadville, PA
- NPI 1184791022
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1629633573
Internal Medicine
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Gastroenterology Physician
- Poplar Bluff, MO
- NPI 1336310838
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.