Active NPI
Iftikhar Ali CH, M.D
- Internal Medicine Physician
- Centralia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60275888
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD60275888 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Post Acute Care PLLC | Internal Medicine | Current | Accepting new patients |
| Optimum Care Hospitalist Group PLLC | Internal Medicine | Current | Accepting new patients |
| Spectrum Healthcare Solutions, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Transitional Care Organization LLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1558816850
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1861150211
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1306396577
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
Hospital
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
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
- Centralia Chiropractic, Inc (Centralia Chiropractic Center)
- Centralia Pharmacy Group, Inc. (Centralia Pharmacy)
- Centralia Pharmacy Group, Inc.
- Centralia Physical Therapy Inc PS (Castle Rock Physical Therapy)
- Centralia School District #401
- Austin James Chamberlain, PA-C
- Kim J Chase
- Courtnie M Chastain, MA,CCHT
- Kristina Chavez, 175T00000X
- George Don Chen, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.