Ali Al Ali, PA
Individual provider Active NPI Physician Assistant · Syracuse, NY
NPI 1558092171 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1558092171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 030795 (NY)
- Practice address
- 725 East Adams Street
3Rd Floor
Syracuse, NY 13210 - Phone
- (315) 464-6527
- Fax
- (315) 464-1729
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suny Health Science Center at Syracuse
Practice addresses (Care Compare)
550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
Hospital & facility affiliations
- Centerwell Home Health
- Nascentia Health at Home
- University Hospital S U N Y Health Science Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117002914 | NY | Practitioner - Physician Assistant | 5294187001 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030795 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Syracuse | Physician Assistant | Current |
Accepting new patients |
| Suny Health Science Center at Syracuse | Current |
Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients | |
| Department of Medicine Medical Service Group | Past |
Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357
725 E Adams St
Fl 3
Syracuse, NY 13210
Phone (315) 464-5533
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- aali56606@direct.upstate.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 030795 | NY | Yes |
Addresses
Primary practice location
725 East Adams Street
3Rd Floor
Syracuse, NY 13210
Mailing address
251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000
Other providers in Syracuse, NY
- Qudtia L Akins
- Reem Akkawi
- Mian Muhammad Ali Akram
- Rouzia Aktar
- Catherine Akulonis
- Hatem Al Kashroom
- Ali Tareq Jaleel Al-Azzawi
- Amanda Al-Feghali
- Akram Saeed Al-Theblah
- Michele Alagna
All providers in Syracuse, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. 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.