Active NPI
Ali Suleiman Elfandi, M.D
- Interventional Cardiology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 54148
- Practice address
- 759 Chestnut St
Springfield, MA 01199-3533 - Phone
- (413) 794-0000
- NPI assigned
- Apr 24, 2013
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | TP093 | KY | |
| Interventional Cardiology Physician | 207RI0011X | TP093 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | 54148 | KY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 277788 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 54148 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 14907 | WI | |
| Internal Medicine Physician | 207R00000X | 25MA09840100 | NJ |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-3533
Mailing address
PO Box 936
London, KY 40743-0936
Other practice location 1
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-4200
Other practice location 2
1401 Harrodsburg Rd Ste A300
Lexington, KY 40504-3787
Phone (859) 276-4429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100413511 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429
Hospital & facility affiliations
- Saint Joseph London
- Saint Clare'S Hospital/ Denville Campus
- Saint Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09840100 | NJ | MD | Internal Medicine Physician |
| 277788 | MA | MD | Cardiovascular Disease Physician |
| 54148 | KY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Hudson MD Group | Internal Medicine | Current | Accepting new patients |
| Internal Medicine of Morris County LLC | Internal Medicine | Current | Accepting new patients |
| Ccmma NJ LLC | Current | Accepting new patients | |
| PNP Pediatrics, LLC | Past | Accepting new patients | |
| David W. Lee MD PA | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
211 Fountain Ct
Ste 210
Lexington, KY 40509
Phone (859) 629-7265
1401 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 258-6784
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
306 Dr Martin Luther King Jr Blvd
Fl 4B
Newark, NJ 07102
9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300
Interoperability endpoints
- alielfandi@kysjhspe.allscriptsdirect.net
- aelfandi275196@direct.stlukeshealth.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
Internal Medicine
-
- Critical Care Medicine (Anesthesiology) Physician
- Passaic, NJ
- NPI 1124543095
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
-
- Pediatrics Physician
- Princeton, NJ
- NPI 1417901521
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1669816336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011993533",
"telephone_number": "413-794-0000"
}
],
"practiceLocations": [
{
"address_1": "3003 University Dr",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541434110",
"country_code": "US",
"telephone_number": "715-735-4200",
"fax_number": "715-735-8019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Harrodsburg Rd Ste A300",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043787",
"country_code": "US",
"telephone_number": "859-276-4429",
"fax_number": "859-276-5919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELFANDI",
"first_name": "ALI",
"middle_name": "SULEIMAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "TP093",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "TP093",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "54148",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "277788",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "54148",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WI",
"license": "14907",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09840100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100413511",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.