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
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
Hillside Primary Care PLLC
Goldberg and Pellegrini, MD, P.C.
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130516000465 | NY | Practitioner - Internal Medicine |
8820233349 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97299 | FL | MD | Internal Medicine Physician |
Practice roles (13 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current |
Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Allmed Urgent Care PC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current |
Accepting new patients |
| Goldberg & Pellegrini, MD, P.C. | Internal Medicine | Current |
Accepting new patients |
| Ajay 28 LLC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Bronx Medical Practice P.C. | Internal Medicine | Current |
Accepting new patients |
| Hillside Primary Care PLLC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113293700 | Medicaid | FL | |
| 1950230 | Other | FL | UNITED HEALTHCARE |
| DVUDD | Other | FL | FLORIDA BLUE |
NPI Registry JSON
{
"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
- Syndey Alexander
- Kimberly Alfano
- Yessilin Alfonso Cabo
- Kathleen Alfonso
- Aneesa Ali
- Muhammad Qasim Ali
- Iman Alkhoja
- All Around Quality Nursing LLC
- All Medical Group of Tampa Bay,LLC
- All Well Pediatrics Group, P.a.
All providers in Brandon, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 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.