Individual provider Active NPI

Mohammad Adel Ali, M.D.

  • Vascular & Interventional Radiology Physician
  • Mishawaka, IN
National Provider Identifier
1679759898
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01083272A Issued in IN
Practice address
250 E Day Rd Ste 300
Mishawaka, IN 46545-3471
Phone
(574) 970-0777
NPI assigned
Jan 17, 2008
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 21048 MS
Diagnostic Radiology Physician 2085R0202X 001400 GA
Vascular & Interventional Radiology Physician 2085R0204X 21048 MS
Vascular & Interventional Radiology Physician 2085R0204X 01083272A IN Primary

Addresses

Primary practice location

250 E Day Rd Ste 300
Mishawaka, IN 46545-3471

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-2538

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-1064
Phone (404) 712-4686

Other practice location 2

1151 N State St Ste 404
Jackson, MS 39202-2457
Phone (601) 292-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IN, AL, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110209000233 MS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8628258654 Reassigns benefits to 4 organizations
I20220811001188 IN Practitioner - Interventional Radiology 8628258654 Reassigns benefits to 1 organization
I20240502000368 AL Practitioner - Interventional Radiology 8628258654 Reassigns benefits to 1 organization
I20250514002905 WI Practitioner - Diagnostic Radiology 8628258654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083272AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Physicians LLC CurrentSince Jul 18, 2022 Accepting new patients
Medical Foundation of Central Ms CurrentSince Aug 15, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Nephrology Physicians LLC Vascular & Interventional Radiology CurrentSince Jul 18, 2022 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince May 28, 2025 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Aug 15, 2022 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Aug 15, 2022 Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

250 E Day Rd
Ste 300
Mishawaka, IN 46545
Phone (574) 273-6787

710 Park Pl
Mishawaka, IN 46545
Phone (574) 273-6767

710 Park Pl
Ste 200
Mishawaka, IN 46545

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

1151 N State St
Ste 404
Jackson, MS 39202
Phone (601) 292-4261

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mali7284@ummc.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1679759898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-2538",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E DAY RD STE 300",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453471",
            "telephone_number": "574-970-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221064",
            "country_code": "US",
            "telephone_number": "404-712-4686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N State St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022457",
            "country_code": "US",
            "telephone_number": "601-292-4261",
            "fax_number": "601-292-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMMAD",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "21048",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "001400",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MS",
            "license": "21048",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01083272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.