Individual provider Active NPI

Ronnie Ali, DO

  • Emergency Medicine Physician
  • Gulfport, MS
National Provider Identifier
1497735039
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16596 Issued in MS
Practice address
11564 Stanton Cir
Gulfport, MS 39503-6156
Phone
(228) 896-1016
Fax
(228) 354-0088
NPI assigned
Jan 19, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0009111 FL
Emergency Medicine Physician 207P00000X 16596 MS Primary
Emergency Medicine Physician 207P00000X DO0000001749 TN

Addresses

Primary practice location

11564 Stanton Cir
Gulfport, MS 39503-6156

Mailing address

11564 Stanton Cir
Gulfport, MS 39503-6156
Phone (228) 896-1016

Other identifiers 6

IdentifierTypeStateIssuer
00121559MedicaidMS
P00239565OtherFLRRMCR
P00411844OtherMSRAILROAD MEDICARE
272211900MedicaidFL
3319626MedicaidTN
48468OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 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
I20040713000662 MS Practitioner - Emergency MedicinePractitioner - Family Practice 9133107378 Reassigns benefits to 12 organizations
I20170106001575 LA Practitioner - Emergency Medicine 9133107378 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxem Health Urgent Care DibervilleGroup PAC ID 1759624968, 11 clinicians
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians
Picayune Urgent Care Clinic, LLCGroup PAC ID 3072612175, 10 clinicians
Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians
Hattiesburg Urgent Care LLCGroup PAC ID 4981913308, 19 clinicians

Practice addresses (Care Compare)

10319 Diberville Blvd
Diberville, MS 39540-2506
Phone (228) 223-1927

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

422 Memorial Blvd
Picayune, MS 39466-5544
Phone (601) 798-2151

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 286-2090

6101 U S Hwy 49
Hattiesburg, MS 39402-7158
Phone (228) 223-1927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

Merit-based Incentive Payment System (MIPS)

Final score
60.83 of 100Reported as group
Quality
0
Improvement activities
40
Cost
76.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0009111FLMDEmergency Medicine Physician
DO0000001749TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince Aug 1, 2019 Accepting new patients
Maxem Health Urgent Care Hammond CurrentSince Nov 1, 2016 Accepting new patients
Maxem Health Urgent Care Slidell CurrentSince Feb 1, 2018 Accepting new patients
Hattiesburg HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
Picayune Urgent Care Clinic, LLC CurrentSince Feb 1, 2007 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Oct 26, 2018 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
Bay Area Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Maxem Health Urgent Care Mobile PastSince Jan 1, 2022 Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
Ochsner Medical Center - Hancock LLC Past Accepting new patients
Acs Emergency Physicians PA Emergency Medicine Past Accepting new patients
Grandiflora Emergency Physicians Emergency Medicine Past Accepting new patients
Edgewater Urgent Medical Care, LLC PastSince Jan 1, 2008 Accepting new patients
David F. Roberts, MD Past Accepting new patients
Picayune Family Practice Clinic, LLC Past Accepting new patients

Locations

2741 W Thomas St
Ste A
Hammond, LA 70401
Phone (985) 542-2299

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

170 Northshore Blvd
Slidell, LA 70460
Phone (985) 641-1228

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1497735039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11564 STANTON CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036156",
            "telephone_number": "228-896-1016",
            "fax_number": "228-354-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11564 STANTON CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036156",
            "telephone_number": "228-896-1016",
            "fax_number": "228-354-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0009111",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "16596",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO0000001749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121559",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00239565",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411844",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272211900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319626",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.