Individual provider Active NPI

Ali H Mardan, PHD, MD, RPVI, FACP

  • Internal Medicine Physician
  • Mason City, IA
National Provider Identifier
1619905353
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41248 Issued in IA
Practice address
1000 4TH St SW
Mason City, IA 50401-2800
Phone
(641) 428-8001
Fax
(641) 428-6160
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41248 IA Primary

Addresses

Primary practice location

1000 4TH St SW
Mason City, IA 50401-2800

Mailing address

1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-8001

Other identifiers 1

IdentifierTypeStateIssuer
315331MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010000396 IA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6406882620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41248IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock County Health System CurrentSince Jul 5, 2024 Accepting new patients
Hancock County Health System CurrentSince Jul 5, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0187d1c0-26b8-42cb-81e4-84d2429978e8/

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1619905353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-8001",
            "fax_number": "651-428-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-8001",
            "fax_number": "641-428-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDAN",
        "first_name": "ALI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD, MD, RPVI, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "41248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315331",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.