NPIMap

Individual provider Active NPI

Robert Amjad Ali, MD

  • Hematology & Oncology Physician
  • Carlsbad, NM
National Provider Identifier
1629414768
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD2019-0263 Issued in NM
Practice address
101 S Canal St
Carlsbad, NM 88220-5713
Phone
(575) 234-1466
Fax
(575) 628-1099
NPI assigned
May 16, 2013
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X MD2019-0263 NM Primary

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 1

IdentifierTypeStateIssuer
56426844MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002087 NM Practitioner - Hematology/Oncology 8022324219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 6608775135, 335 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Masoud Khorsand-Sahbaie, MD PA CurrentSince Jul 1, 2019 Accepting new patients
St Vincent Hospital Current Accepting new patients
St Vincent Hospital CurrentSince Jan 28, 2024 Accepting new patients
Masoud Khorsand- Sahbaie MD P a Hematology & Oncology CurrentSince Jul 1, 2019 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

2990 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 428-5400

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

455 Saint Michaels Dr
#A
Santa Fe, NM 87505

465 Saint Michaels Dr
Ste 112
Santa Fe, NM 87505
Phone (505) 727-5980

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

490A W Zia Rd
Ste 100
Santa Fe, NM 87505
Phone (505) 913-5602

Interoperability endpoints

  • Direct secure messaging: rali340609@christushealth.direct-ci.net
  • Direct secure messaging: robert.ali@kymeramedical.direct.emds.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1629414768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 8TH STREET",
            "address_2": "UNIVERSITY OF FLORIDA-UF HEALT; ACC-1 INTERNAL MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-383-1003",
            "fax_number": "904-244-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205713",
            "telephone_number": "575-234-1466",
            "fax_number": "575-628-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th Street",
            "address_2": "University of Florida-UF Health Acc-1 Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32209",
            "country_code": "US",
            "telephone_number": "904-383-1003",
            "fax_number": "904-244-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "ROBERT",
        "middle_name": "AMJAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2019-0263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56426844",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.