NPIMap

Individual provider Active NPI

Ahmad Jafar Ali, MD

  • Family Medicine Physician
  • Edenton, NC
National Provider Identifier
1396761672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9600840 Issued in NC
Practice address
314 W Queen St
Edenton, NC 27932-1733
Phone
(252) 482-7774
Fax
(252) 482-7345
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9600840 NC Primary

Addresses

Primary practice location

314 W Queen St
Edenton, NC 27932-1733

Mailing address

PO Box 298
Edenton, NC 27932-0298
Phone (252) 482-7774

Other identifiers 1

IdentifierTypeStateIssuer
8910127MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050503000509 NC Practitioner - Family Practice 1759320310
I20190320000113 VA Practitioner - Family Practice 1759320310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

401 N 11TH St
Richmond, VA 23219-1901
Phone (804) 828-9000

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Family Medicine CurrentSince Jan 27, 2019 Accepting new patients
CMH Physician Services, LLC CurrentSince Jan 27, 2019 Accepting new patients
MCV Associated Physicians Family Medicine CurrentSince May 2, 2024 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • Direct secure messaging: ahmadali@fmoe.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396761672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320298",
            "telephone_number": "252-482-7774",
            "fax_number": "252-482-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W QUEEN ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321733",
            "telephone_number": "252-482-7774",
            "fax_number": "252-482-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AHMAD",
        "middle_name": "JAFAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9600840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.