Mir Taqui Ali, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Arcadia, CA
NPI 1376567776 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1376567776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- A45889 (CA)
- Practice address
- 624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603 - Phone
- (626) 446-5800
- Fax
- (626) 446-0214
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
624 W Duarte Rd
Suite 207
Arcadia, CA 91007-9265
Phone (626) 446-5800
Hospital & facility affiliations
- Ensure Home Health Care, Inc
- Usc Arcadia Hospital
- Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20040723000823 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 7214917749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45889 | CA | MD | Cardiovascular Disease Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Heart Center, Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients |
Locations
624 W Duarte Rd
Arcadia, CA 91007
Phone (626) 447-0934
624 W Duarte Rd
Ste 207
Arcadia, CA 91007
Phone (626) 446-5800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A45889 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A45889 | CA | Yes |
Addresses
Primary practice location
624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603
Mailing address
624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603
Phone (626) 446-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A45889 | Other | CA | A45889 |
Other providers in Arcadia, CA
- Aijialon Alexander
- Stanley J Alexander
- Natalie Alfaro
- Maria J Alferez
- Aina Ali
- Nadia Ali
- Ali Aljubyly
- All Gentle Hospice, Inc.
- All Ways Home Health Care, Inc.
- Allconnect Healthcare Inc
All providers in Arcadia, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. 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.