Active NPI
Ali H Mardan, PHD, MD, RPVI, FACP
- Internal Medicine Physician
- Mason City, IA
National Provider Identifier
1619905353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315331 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 41248 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock County Health System | Current | Accepting new patients | |
| Hancock County Health System | Current | 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
- 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.
-
- Critical Access Hospital
- Britt, IA
- NPI 1689721318
-
- Critical Access Hospital
- Britt, IA
- NPI 1912938606
-
- Family Medicine Physician
- Britt, IA
- NPI 1144434283
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.