Individual provider Active NPI

Ahmed M Ali, M.D.

  • Surgical Critical Care Physician
  • Bowie, MD
National Provider Identifier
1508989807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD11799 Issued in DC
Practice address
12307 Pleasant Prospect Rd
Bowie, MD 20721-2516
Phone
(301) 576-9569
Fax
(301) 499-1795
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD11799 DC Primary

Addresses

Primary practice location

12307 Pleasant Prospect Rd
Bowie, MD 20721-2516

Mailing address

12307 Pleasant Prospect Rd
Bowie, MD 20721-2516
Phone (301) 576-9569

Other identifiers 1

IdentifierTypeStateIssuer
026489800MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27659MDMDCritical Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Murray Current Accepting new patients
Greater Southeast Community Hospital Corp I Past Accepting new patients

Locations

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508989807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 PLEASANT PROSPECT RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212516",
            "telephone_number": "301-576-9569",
            "fax_number": "301-499-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 PLEASANT PROSPECT RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212516",
            "telephone_number": "301-576-9569",
            "fax_number": "301-499-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "DC",
            "license": "MD11799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026489800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.