Yaqoob Ali, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Rolla, MO
NPI 1477582799 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1477582799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 2005035241 (MO)
- Practice address
- 1605 Martin Springs Dr
Suite 150
Rolla, MO 65401-2931 - Phone
- (573) 458-6379
- Fax
- (573) 458-6698
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735
Hospital & facility affiliations
- Mercy Hospital Lebanon
- Phelps County Regional Medical Center
- Mercy Hospital Springfield
- Mercy Hospital Washington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20060913000091 | MO | Practitioner - Hematology/Oncology | 1759385396 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005035241 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Hematology & Oncology | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300
1605 Martin Springs Dr
Ste 150
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 310
Rolla, MO 65401
Phone (417) 820-2064
3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 888-5665
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
Interoperability endpoints
- yali18526@directc.mercy.net
- yali1001@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2005035241 | MO | Yes |
Addresses
Primary practice location
1605 Martin Springs Dr
Suite 150
Rolla, MO 65401-2931
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| # PENDING | Medicaid | MO |
Other providers in Rolla, MO
- Britney Danielle Akers
- Oluwafunmilola Alabi
- Albert L. Crump, LCSW, LLC
- Matthew Alexander
- Claire Alfermann
- Allergy & Asthma Consultants of the Ozarks LTD
- Allergy and Asthma Consultants of the Ozarks, LTD
- Alpha Assisted Living LLC
- Paige Loring Alvarado
- Danielle Diane Alvarez
All providers in Rolla, MO · Hematology & Oncology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. 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.