Active NPI
Mohammad Adel Ali, M.D.
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01083272A
- 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, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Mississippi Baptist Medical Center
- USA Health University Hospital
- Ascension All Saints Hospital
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension SE Wisconsin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.28 of 100
- Quality
- 85.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01083272A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Physicians LLC | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Nephrology Physicians LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mississippi Baptist Medical Center, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Diagnostic Radiology
-
- Nephrology Physician
- Mishawaka, IN
- NPI 1518996719
Vascular & Interventional Radiology
-
dba MBMC - Neuro Hospitalists
- Neurology Physician
- Jackson, MS
- NPI 1467589556
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Azura Surgery Center Michiana Vascular
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1003357377
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
dba MBMC-Hospitalists
- Hospitalist Physician
- Jackson, MS
- NPI 1962867093
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba USA Health University Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
dba USA Health Reference Lab Billing
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.