NPIMap

Individual provider Active NPI

Adil Ali

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1568967958
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036158066 Issued in IL
Practice address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone
(718) 616-3000
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 036158066 IL Primary

Addresses

Primary practice location

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Mailing address

2507 Gleneagles Dr
Naperville, IL 60565-5349
Phone (630) 885-0882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002518 IL Practitioner - Internal Medicine 9638577588 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Physician Services PCGroup PAC ID 5496194698, 23 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-3086
Phone (312) 770-2000

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036158066ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Health Affiliates CurrentSince Sep 17, 2021 Accepting new patients
Chicago Physician Services, P.C. Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince May 8, 2024 Accepting new patients
Pathology Services Illinois, LTD Current Accepting new patients
Saint Anthony Health Affiliates CurrentSince Sep 17, 2021 Accepting new patients
Carle West Physician Group Inc CurrentSince Apr 26, 2023 Accepting new patients
Kane Physician Services, P.C. Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Saint Anthony Health Affiliates Internal Medicine Past Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

200 Corporate Blvd
Lafayette, LA 70508

Interoperability endpoints

  • Direct secure messaging: adil.ali.1@26824.direct.athenahealth.com
  • Direct secure messaging: aalimd371626@carlehiedirect.net

Organizations & group practices 9

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 10

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1568967958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 GLENEAGLES DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605655349",
            "telephone_number": "630-885-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ADIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036158066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.