Individual provider Active NPI

Marwan M Ali, MD

  • Urology Physician
  • Jacksonville, FL
National Provider Identifier
1477915775
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101272675 Issued in VA
Practice address
710 Lomax St
Jacksonville, FL 32204-4015
Phone
(904) 355-6583
Fax
(904) 355-4922
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101272675 VA Primary
Urology Physician 208800000X ME157602 FL

Addresses

Primary practice location

710 Lomax St
Jacksonville, FL 32204-4015

Mailing address

710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210723001427 VA Practitioner - Urology 6507148731 Reassigns benefits to 1 organization
I20220928003850 FL Practitioner - Urology 6507148731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Physician Specialists LLCGroup PAC ID 4486806213, 37 clinicians

Practice addresses (Care Compare)

710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Jacksonville, FL, CCN 108148
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157602FLMDUrology Physician
0101272675VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC Urology CurrentSince Aug 1, 2022 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
McIver Urological Clinic Urology Current Accepting new patients
Florida Physician Specialists LLC CurrentSince Aug 1, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 1, 2021 Accepting new patients

Locations

1860 Town Hall Cir
Fleming Island, FL 32003
Phone (904) 520-6800

8774 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 642-6100

710 Lomax St
Ste L
Jacksonville, FL 32204

710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584

14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054

1577 Roberts Dr
Ste 326
Jacksonville Beach, FL 32250
Phone (904) 270-2706

1715 Village Way
Orange Park, FL 32073
Phone (904) 264-8418

300 Saint Elizabeth Way
Ste 145
St Johns, FL 32259

500 Ray C Hunt Dr
Fl 2
Charlottesville, VA 22903
Phone (434) 243-4520

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

Interoperability endpoints

  • Direct secure messaging: marwanali@miuc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1477915775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044015",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044015",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MARWAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101272675",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME157602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.