NPIMap

Individual provider Active NPI

Ali S Alavi, M.D.

  • Urology Physician
  • Fullerton, CA
National Provider Identifier
1508936592
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A79874 Issued in CA
Practice address
1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638
Phone
(714) 879-2410
Fax
(714) 879-5340
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.151394 OH
Urology Physician 208800000X 122109 MT
Urology Physician 208800000X A79874 CA Primary

Addresses

Primary practice location

1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638

Mailing address

1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638
Phone (714) 879-2410

Other practice location 1

4000 Miamisburg Centerville Rd Ste 207
Miamisburg, OH 45342-3674
Phone (937) 560-2011

Other identifiers 8

IdentifierTypeStateIssuer
1851498133OtherCAGROUP NPI
05D0684380OtherCACLIA
05D0977537OtherCACLIA
A79874MedicaidCA
GR0011581OtherCAMEDI-CAL GROUP NUMBER
05D0552498OtherCACLIA
208800000XOtherCATAXONOMY
YYY49655YOtherCABLUE SHEILD GRP NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address aalavi915135@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT, AZ, OH, GA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040510000147 CA Practitioner - Urology 7012906688 Reassigns benefits to 3 organizations
I20230322002256 MT Practitioner - Urology 7012906688 Reassigns benefits to 1 organization
I20231127003324 AZ Practitioner - Urology 7012906688 Reassigns benefits to 1 organization
I20240903003851 OH Practitioner - Urology 7012906688 Reassigns benefits to 1 organization
I20241104000116 GA Practitioner - Urology 7012906688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Marinelli and Feldman MDSGroup PAC ID 6709875370, 3 clinicians

Practice addresses (Care Compare)

1541 Florida Ave
Suite 100
Modesto, CA 95350-4438
Phone (209) 575-3839

1915 Sunny Crest Dr
Fullerton, CA 92835-3626
Phone (714) 879-2410

Hospital & facility affiliations

  • Acacia Home Health Services Home health agency, Glendale, CA, CCN 059256
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79874CAMDUrology Physician
122109MTMDUrology Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jun 27, 2024 Accepting new patients
Marinelli & Feldman, M.D.'S Urology Current Accepting new patients
First Choice Physician Partners CurrentSince Nov 18, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Benefis Hospitals Inc CurrentSince Mar 16, 2023 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Mar 16, 2023 Accepting new patients
First Choice Physician Partners Urology CurrentSince Nov 18, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jun 24, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince May 28, 2024 Accepting new patients
First Choice Physician Partners Urology Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 575-3839

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Ste 207
Miamisburg, OH 45342
Phone (937) 560-2011

4000 Miamisburg Centerville Rd
Ste 230
Miamisburg, OH 45342
Phone (937) 384-0790

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alialavi@mandf.medalliesdirect.net
  • Direct secure messaging: ali.alavi.1@8478.direct.athenahealth.com

Organizations & group practices 12

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 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1508936592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "#3400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-879-2410",
            "fax_number": "714-879-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "#3400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-879-2410",
            "fax_number": "714-879-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Miamisburg Centerville Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423674",
            "country_code": "US",
            "telephone_number": "937-560-2011",
            "fax_number": "937-560-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "ALI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.151394",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "122109",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A79874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1851498133",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0684380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0977537",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A79874",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP NUMBER",
            "identifier": "GR0011581",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0552498",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "208800000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD GRP NUMBER",
            "identifier": "YYY49655Y",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4000 Miamisburg Centerville Rd Ste 207",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aalavi915135@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4000 Miamisburg Centerville Rd Ste 207",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.