Individual provider Active NPI

Ali Suleiman Elfandi, M.D

  • Interventional Cardiology Physician
  • Springfield, MA
National Provider Identifier
1669816336
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
54148 Issued in KY
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100413511MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181120001077 NJ Practitioner - Internal Medicine 5991059479 Reassigns benefits to 3 organizations
I20200604001476 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5991059479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

Hospital & facility affiliations

  • Saint Joseph London Hospital, London, KY, CCN 180011
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09840100NJMDInternal Medicine Physician
277788MAMDCardiovascular Disease Physician
54148KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Hudson MD Group Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Feb 18, 2023 Accepting new patients
Ccmma NJ LLC CurrentSince Mar 1, 2026 Accepting new patients
PNP Pediatrics, LLC Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 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

  • Direct secure messaging: alielfandi@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.