Robert Amjad Ali, MD
Individual provider Active NPI Hematology & Oncology Physician · Carlsbad, NM
NPI 1629414768 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1629414768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- MD2019-0263 (NM)
- Practice address
- 101 S Canal St
Carlsbad, NM 88220-5713 - Phone
- (575) 234-1466
- Fax
- (575) 628-1099
- NPI assigned
- May 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Vincent Hospital
Practice addresses (Care Compare)
2990 Rodeo Park Dr E
Santa Fe, NM 87505-6302
Phone (505) 913-8900
433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232
445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Holy Cross Hospital a Div of Taos Health Systems
- Presbyterian Santa Fe Medical Center
- Los Alamos Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190716002087 | NM | Practitioner - Hematology/Oncology | 8022324219 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital | Current |
Accepting new patients | |
| Masoud Khorsand-Sahbaie, MD PA | Current |
Accepting new patients | |
| Masoud Khorsand- Sahbaie MD P a | Hematology & Oncology | Current |
Accepting new patients |
| St Vincent Hospital | Current | Accepting new patients | |
| Shands Jacksonville Medical Center Inc | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
101 S Canal St
Carlsbad, NM 88220
Phone (575) 234-0500
3028 N Grimes St
Hobbs, NM 88240
Phone (575) 392-0222
2237 Trinity Dr
Ste B
Los Alamos, NM 87544
Phone (505) 662-8870
407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110
490A W Zia Rd
Ste 100
Santa Fe, NM 87505
Phone (505) 913-5312
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
2990 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 428-5400
465 Saint Michaels Dr
Ste 112
Santa Fe, NM 87505
Phone (505) 913-5000
455 Saint Michaels Dr
#A
Santa Fe, NM 87505
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- robert.ali@kymeramedical.direct.emds.com
- rali340609@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | MD2019-0263 | NM | Yes |
Addresses
Primary practice location
101 S Canal St
Carlsbad, NM 88220-5713
Mailing address
655 W 8TH Street
University of Florida-Uf Healt; Acc-1 Internal Medicine
Jacksonville, FL 32209
Phone (904) 383-1003
Other practice location 1
655 W 8th Street
University of Florida-UF Health Acc-1 Internal Medicine
Jacksonville, FL 32209
Phone (904) 383-1003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56426844 | Medicaid | NM |
Other providers in Carlsbad, NM
- Joaquin Alaniz
- Albertsons LLC
- Carol Albright
- Patricia J Aldaz
- Tanessa Algeo
- All Smiles Family Dental Clinics, LLC
- Daryl Allen
- Heather D Allen
- Kelli Allen
- Ramsey Allen
All providers in Carlsbad, NM · Hematology & Oncology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.