Individual provider Active NPI

Roshan Sher Ali, MD

  • Nephrology Physician
  • Elmhurst, IL
National Provider Identifier
1376646828
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036115312 Issued in IL
Practice address
133 E Brush Hill Rd Ste 310
Elmhurst, IL 60126-5662
Phone
(331) 221-9003
Fax
(331) 221-2743
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036115312 IL Primary

Addresses

Primary practice location

133 E Brush Hill Rd Ste 310
Elmhurst, IL 60126-5662

Mailing address

4201 Winfield Rd FL 4
Warrenville, IL 60555-4025
Phone (331) 221-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081025000146 IL Practitioner - NephrologyPractitioner - Internal Medicine 5799787693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians

Practice addresses (Care Compare)

133 E Brush Hill Rd
Suite 205
Elmhurst, IL 60126-5659
Phone (331) 221-6930

133 E Brush Hill Rd
Unit 301
Elmhurst, IL 60126-5661
Phone (630) 832-2183

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Usrc Villa Park Home Therapies Dialysis facility, Villa Park, IL, CCN 142787
  • Usrc Villa Park Dialysis Dialysis facility, Villa Park, IL, CCN 142755
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. Nephrology Current Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Oct 1, 2014 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Oct 1, 2014 Accepting new patients
Nani-Ihp LLC Nephrology CurrentSince Apr 1, 2023 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Apr 1, 2023 Accepting new patients
Wyse Eyecare SC Past Accepting new patients
Department of Medicine Faculty Practice Nephrology Past Accepting new patients

Locations

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

133 E Brush Hill Rd
Ste 310
Elmhurst, IL 60126
Phone (331) 221-9003

133 E Brush Hill Rd
Elmhurst, IL 60126
Phone (630) 279-8771

133 E Brush Hill Rd
Unit 301
Elmhurst, IL 60126
Phone (630) 782-4050

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

4201 Winfield Rd
Fl 4
Warrenville, IL 60555

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1376646828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WINFIELD RD FL 4",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554025",
            "telephone_number": "331-221-6377",
            "fax_number": "331-221-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 310",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265662",
            "telephone_number": "331-221-9003",
            "fax_number": "331-221-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHER ALI",
        "first_name": "ROSHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036115312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.