Mir M Ali, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036103972 Issued in IL

Practice address

17850 Kedzie Ave
3200
Hazel Crest, IL 60429-2058

Phone

(708) 798-8112

Fax

(708) 798-9016

NPI assigned

Jul 5, 2005

Last updated

Jun 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Family Practice Center of Palatine SCGroup PAC ID 3072745926, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Practice Center of Palatine S.C

  • Primary Care Clinic/Center
  • Palatine, IL
  • NPI 1225468317
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Patrick Dicillo, S.C.

  • Family Medicine Physician
  • Palatine, IL
  • NPI 1164513107
  NPD (past)
• Ultrasound Mobile Service, LTD

  • Diagnostic Ultrasound Physician
  • Deerfield, IL
  • NPI 1801975602
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1407853435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-532-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "3200",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-798-8112",
            "fax_number": "708-798-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103972",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advocate Health and Hospitals Corporation (Advocate South Suburban Hospital)
• Rochelle Ann Agrigento, P.T.
• Estevan Aguilar, D.P.T
• Abiola Alamutu
• Matthew Alborn, DPT
• Zakia Haseena Ali
• All Time Urgent Care
• Allbright Medical Supply & Transportation, Inc.
• Natalie Allen, LCPC
• Abdulah Alrifai, M.D.

• Internal Medicine Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.