Monsur Ali, D.O.
Individual provider Active NPI Internal Medicine Physician · Coppell, TX
NPI 1508206095 · NPPES record last updated Apr 27, 2025
Key facts
- NPI
- 1508206095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- S4431 (TX)
- Practice address
- 546 E Sandy Lake Rd Ste 120
Coppell, TX 75019-5793 - Phone
- (469) 619-7192
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
546 E Sandy Lake Rd
Candid Primary Care Suite 120
Coppell, TX 75019-5793
Phone (469) 619-7192
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20220818002807 | TX | Practitioner - Internal Medicine | 5395969851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4431 | TX | MD | Internal Medicine Physician |
| 0102204149 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Nahar Medical PLLC | Internal Medicine | Current |
Accepting new patients |
Locations
450 S Denton Tap Rd
Unit 2265
Coppell, TX 75019
546 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 258-7426
546 E Sandy Lake Rd
Ste 120
Coppell, TX 75019
Phone (469) 619-7192
Interoperability endpoints
- monsurali@tdh.allscriptsdirect.net
- monsur.ali.1@27237.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 302339 | NY | |
| Internal Medicine Physician | 207R00000X | 0102204149 | VA | |
| Internal Medicine Physician | 207R00000X | S4431 | TX | Yes |
Addresses
Primary practice location
546 E Sandy Lake Rd Ste 120
Coppell, TX 75019-5793
Mailing address
450 S Denton Tap Rd Unit 2265
Coppell, TX 75019-7705
Phone (469) 619-7192
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | monsur.ali.1@27237.direct.athenahealth.com |
Other providers in Coppell, TX
- Princy Ajesh
- Ethan Nathaniel Akins
- Samiha Alam
- Albertsons LLC
- Danya Aldhahir
- Elizabeth Elaine Allen
- Brielle Maranne Almendariz
- Alpha Medicine & Rehab, PLLC
- Ambreen Alwani
- Blanca Rosa Amador
All providers in Coppell, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2025. 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.