Organization Active NPI

Kashif R. Ali,MD,PA

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1457624082
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2089 Issued in TX
Legal business name
KASHIF R. ALI,MD,PA
Practice address
10900 Jones Rd
Suite 1
Houston, TX 77065-5471
Phone
(678) 471-9592
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Kashif R Ali, MDNPI 1235248873
Title
President
Phone
(678) 471-9592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X L2089 TX Primary

Addresses

Primary practice location

10900 Jones Rd
Suite 1
Houston, TX 77065-5471

Mailing address

15810 Long Neck Dr
Magnolia, TX 77355-3655
Phone (832) 277-1178

Other identifiers 2

IdentifierTypeStateIssuer
0039XQOtherTXBLUE CROSS BLUE SHIELD
2886137MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2037021Kashif R Ali, MD, PA10900 Jones Road # 1, Houston, TX 77065Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

610 Melton St
Ste 250
Magnolia, TX 77354
Phone (281) 377-5102

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1457624082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 LONG NECK DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773553655",
            "telephone_number": "832-277-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 JONES RD",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655471",
            "telephone_number": "678-471-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHIF R. ALI,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-471-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039XQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2886137",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.