Active NPI
Sabir Ali, M.D.
- Surgery Physician
- Melbourne, FL
National Provider Identifier
1619949245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME44893
- Practice address
- 1350 S Hickory St
Holmes Regional Medical Center
Melbourne, FL 32901-3278 - Phone
- (321) 434-1401
- Fax
- (321) 434-8939
- NPI assigned
- Feb 7, 2006
- Last updated
- Dec 2, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME44893 | FL | Primary |
Addresses
Primary practice location
1350 S Hickory St
Holmes Regional Medical Center
Melbourne, FL 32901-3278
Mailing address
PO Box 44008
Ufjp Holmes Trauma
Jacksonville, FL 32231-4008
Phone (904) 244-3660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0691542-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040114000094 | FL | Practitioner - General Surgery | 1557262557 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88493 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Medical Center Inc. | Surgery | Current | Accepting new patients |
Locations
2105 Palm Bay Rd NE
Ste 1
Palm Bay, FL 32905
Phone (321) 676-1230
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196553600000",
"number": "1619949245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP HOLMES TRAUMA",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3660",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S HICKORY ST",
"address_2": "HOLMES REGIONAL MEDICAL CENTER",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013278",
"telephone_number": "321-434-1401",
"fax_number": "321-434-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SABIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME44893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0691542-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.