Laali A Ali, M.D

Individual provider Active NPI Internal Medicine Physician · Brandon, FL

NPI 1396974119 · NPPES record last updated Jun 26, 2023

Key facts

NPI
1396974119
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
ME97299 (FL)
Practice address
621 W Brandon Blvd
Brandon, FL 33511
Phone
(813) 681-5702
Fax
(813) 653-2376
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Care Family Medicine, PC (13 clinicians)
Hillside Primary Care PLLC (5 clinicians)
Goldberg and Pellegrini, MD, P.C. (8 clinicians)

Practice addresses (Care Compare)

11220 Liberty Ave
South Richmond Hill, NY 11419-1814
Phone (718) 554-6600

16403 Hillside Ave
Suite 1
Jamaica, NY 11432-4140
Phone (347) 771-8473

380 88TH St
Brooklyn, NY 11209-5665
Phone (718) 748-5482

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130516000465 NY Practitioner - Internal Medicine
Practitioner - Geriatric Medicine
8820233349 Reassigns benefits to 9 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME97299FLMDInternal Medicine Physician

Practice roles (13 of 17)

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current
since Jun 19, 2021
Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine Current
since Jun 19, 2021
Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Allmed Urgent Care PC Current
since Nov 1, 2023
Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine Current
since May 1, 2015
Accepting new patients
Goldberg & Pellegrini, MD, P.C. Internal Medicine Current
since Apr 20, 2025
Accepting new patients
Ajay 28 LLC Current
since Nov 6, 2021
Accepting new patients
Icahn School of Medicine at Mount Sinai Current
since May 1, 2015
Accepting new patients
Bronx Medical Practice P.C. Internal Medicine Current
since Jun 19, 2021
Accepting new patients
Hillside Primary Care PLLC Current
since Apr 9, 2024
Accepting new patients
Essen Medical Associates, PC Current
since Jun 19, 2021
Accepting new patients
Ante Rudez MD PA Past Accepting new patients
New York Community Hospital of Brooklyn, Inc. Internal Medicine Past Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

856 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 222-8777

380 88th St
Ste 1
Brooklyn, NY 11209

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

16403 Hillside Ave
#1
Jamaica, NY 11432
Phone (347) 771-8473

11520 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 554-6600

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME97299 FL Yes

Addresses

Primary practice location

621 W Brandon Blvd
Brandon, FL 33511

Mailing address

621 W Brandon Blvd
Brandon, FL 33511
Phone (813) 681-5702

Other identifiers

IdentifierTypeStateIssuer
113293700MedicaidFL
1950230OtherFLUNITED HEALTHCARE
DVUDDOtherFLFLORIDA BLUE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2023.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1396974119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-681-5702",
            "fax_number": "813-653-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-681-5702",
            "fax_number": "813-653-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "LAALI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113293700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1950230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "DVUDD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

All providers in Brandon, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.