Individual provider Active NPI

Mohamed Syad Ali, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1598917833
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9104732 Issued in FL
Practice address
646 West Palm Drive
Miami, FL 33176
Phone
(305) 242-0883
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9104732 FL Primary

Addresses

Primary practice location

646 West Palm Drive
Miami, FL 33176

Mailing address

9335 SW 170TH LN
Palmetto Bay, FL 33157-4448
Phone (786) 537-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090826000655 FL Practitioner - Physician Assistant 6800941881 Reassigns benefits to 7 organizations
I20230519001975 NY Practitioner - Physician Assistant 6800941881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9104732FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Palmetto Bay, LLC CurrentSince Dec 1, 2025 Accepting new patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 1, 2022 Accepting new patients
Ma Emergency Associates PL Past Accepting new patients
Marshall Amaya & Anton P L Physician Assistant Past Accepting new patients

Locations

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1598917833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 SW 170TH LN",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574448",
            "telephone_number": "786-537-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 WEST PALM DRIVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-242-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMED",
        "middle_name": "SYAD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9104732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.