Individual provider Active NPI

Iftikhar Ali CH, M.D

  • Internal Medicine Physician
  • Centralia, WA
National Provider Identifier
1497908198
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60275888 Issued in WA
Practice address
914 S Scheuber Rd
Providence Centralia Hos- Ekg
Centralia, WA 98531-9027
Phone
(370) 736-2803
NPI assigned
Oct 28, 2008
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60275888 WA Primary

Addresses

Primary practice location

914 S Scheuber Rd
Providence Centralia Hos- Ekg
Centralia, WA 98531-9027

Mailing address

PO Box 3360
Portland, OR 97208-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160819002170 OK Practitioner - Internal Medicine 0648420869 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Organization LLCGroup PAC ID 2961894035, 11 clinicians
Spectrum Healthcare Solutions, PLLCGroup PAC ID 7618255118, 18 clinicians

Practice addresses (Care Compare)

Oklahoma City, OK 73118
Phone (405) 259-2333

4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2416
Phone (405) 768-5749

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60275888WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Post Acute Care PLLC Internal Medicine CurrentSince Jul 9, 2022 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Sep 25, 2018 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 6, 2018 Accepting new patients
Transitional Care Organization LLC CurrentSince May 21, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Organizations & group practices 8

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.

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1497908198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "address_2": "PROVIDENCE CENTRALIA HOS- EKG",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319027",
            "telephone_number": "370-736-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CH",
        "first_name": "IFTIKHAR",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60275888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.