Individual provider Active NPI

Fatima Hadi Ali, M.D.

  • Ophthalmology Physician
  • Elmhurst, IL
National Provider Identifier
1467711689
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036144336 Issued in IL
Practice address
152 N Addison Ave
Elmhurst, IL 60126
Phone
(630) 833-9621
Fax
(630) 833-9465
NPI assigned
May 8, 2012
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036144336 IL Primary

Addresses

Primary practice location

152 N Addison Ave
Elmhurst, IL 60126

Mailing address

152 N Addison Ave
Elmhurst, IL 60126-2821
Phone (630) 833-9621

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171106002910 IL Practitioner - Ophthalmology 2163723891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocular Partners PLLCGroup PAC ID 7113829532, 20 clinicians

Practice addresses (Care Compare)

2640 W 183Rd St
Homewood, IL 60430-2914
Phone (708) 798-6633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Partners PLLC CurrentSince Dec 11, 2019 Accepting new patients
Kovach Eye Institute, LTD Ophthalmology CurrentSince Oct 19, 2017 Accepting new patients

Locations

1431 N Western Ave
Chicago, IL 60622
Phone (312) 633-5866

1525 E 53rd St
Ste 1002
Chicago, IL 60615
Phone (773) 288-2020

5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

152 N Addison Ave
Elmhurst, IL 60126
Phone (630) 833-9621

152 N Addison Ave
Fl 1
Elmhurst, IL 60126
Phone (630) 833-9621

2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633

11600 S Kedzie Ave
Ste C
Merrionette Park, IL 60803
Phone (708) 388-4400

11600 S Kedzie Ave
Ste H
Merrionette Park, IL 60803
Phone (708) 377-3730

9731 165th St
Ste 31
Orland Park, IL 60467
Phone (708) 364-0020

Interoperability endpoints

  • Direct secure messaging: fali@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1467711689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FATIMA",
        "middle_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036144336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.