Individual provider Active NPI

Ali Turab Jaffery, M.D.

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1649489105
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01063816A Issued in IN
Practice address
405 W Grand Ave
Dayton, OH 45405-7538
Phone
(937) 723-3276
Fax
(937) 723-3277
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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 01063816A IN Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-7538

Mailing address

2200 Philadelphia Dr
Ste 441
Dayton, OH 45406-1840
Phone (937) 734-4690

Other practice location 1

1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 705-4754

Other practice location 2

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466

Other practice location 3

30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Phone (937) 208-8394

Other identifiers 1

IdentifierTypeStateIssuer
0092145MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131021001510 OH Practitioner - Internal Medicine 4688809049 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063816AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare LLC CurrentSince Apr 24, 2024 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Samaritan Family Care Inc Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Samaritan Family Care Inc Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients
Samaritan Family Care Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

30 E Apple St
Ste NW3300
Dayton, OH 45409
Phone (937) 208-8394

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Ste 201
Troy, OH 45373
Phone (937) 208-6630

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

Organizations & group practices 10

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1649489105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "STE 441",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-734-4690",
            "fax_number": "937-567-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-723-3276",
            "fax_number": "937-723-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450052584",
            "country_code": "US",
            "telephone_number": "513-705-4754",
            "fax_number": "513-420-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-440-4466",
            "fax_number": "937-440-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St Ste Nw3300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFERY",
        "first_name": "ALI",
        "middle_name": "TURAB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063816A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.