Syed A Ali, MD
Individual provider Active NPI Internal Medicine Physician · Boonville, IN
NPI 1528055662 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1528055662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01026430A (IN)
- Practice address
- 1301 Millis Ave
Boonville, IN 47601-2329 - Phone
- (812) 897-4458
- Fax
- (812) 897-5977
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1301 Millis Ave
Boonville, IN 47601-2329
Phone (812) 897-4458
Hospital & facility affiliations
- St. Croix Hospice
- Deaconess Hospital Inc
- Ascension St Vincent Warrick
- Ascension St Vincent Evansville
- Sutter Medical Center, Sacramento
- Transcendent Healthcare of Boonville
- Transcendent Healthcare of Boonville - North
- Woodmont Health Campus
- Ascension St Vincent Warrick
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Transcendent Healthcare of Boonville |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2009 Jul 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100421000421 | IN | Practitioner - Internal Medicine | 0941276174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026430A | IN | MD | Internal Medicine Physician |
Interoperability endpoints
- syed.ali.1@1834.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01026430A | IN | Yes |
Addresses
Primary practice location
1301 Millis Ave
Boonville, IN 47601-2329
Mailing address
PO Box 467
Boonville, IN 47601-0467
Phone (812) 897-4458
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254090 | Medicaid | IN |
Other providers in Boonville, IN
- Faryaal Aamir
- Laura Helen Alcock
- Alion Healthcare LLC
- Elizabeth Arnold
- Leyte B Asuncion
- Heather R Bailey
- Rajinder D Balasuriya
All providers in Boonville, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.