Individual provider Active NPI

Sheikh M. Yousuf-Ali, MD

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1396800868
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016566 Issued in CT
Practice address
515 North Ridgefield Ave
Bridgeport, CT 06610-2557
Phone
(203) 334-7654
Fax
(203) 334-2501
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016566 CT Primary
Cardiovascular Disease Physician 207RC0000X 016566 CT

Addresses

Primary practice location

515 North Ridgefield Ave
Bridgeport, CT 06610-2557

Mailing address

515 North Ridgefield Ave
Bridgeport, CT 06610-2557
Phone (203) 334-7654

Other identifiers 1

IdentifierTypeStateIssuer
001165661MedicaidCT

Other names 1

  • Sheikh M. Yousuf-Ali Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120313000512 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961661863 Reassigns benefits to 1 organization
Practice locations: Bridgeport, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 N Ridgefield Ave
Bridgeport, CT 06610-2557
Phone (203) 334-7654

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016566CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

Organizations & group practices 2

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1396800868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NORTH RIDGEFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102557",
            "telephone_number": "203-334-7654",
            "fax_number": "203-334-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NORTH RIDGEFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102557",
            "telephone_number": "203-334-7654",
            "fax_number": "203-334-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF-ALI",
        "first_name": "SHEIKH",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016566",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "016566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001165661",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEIKH",
            "last_name": "YOUSUF-ALI",
            "middle_name": "M.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.