Issa Ali
Individual provider Active NPI Internal Medicine Physician · Weston, FL
NPI 1689422263 · NPPES record last updated May 12, 2024
Key facts
- NPI
- 1689422263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 39 (FL)
- Practice address
- 2950 Cleveland Clinic Blvd
Weston, FL 33331-3609 - Phone
- (954) 659-6161
- Fax
- (954) 659-5425
- NPI assigned
- May 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730003669 | FL | Order and Referring Only - Internal Medicine |
3870030562 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39 | FL | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39 | FL | Yes |
Addresses
Primary practice location
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Mailing address
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-6161
Other providers in Weston, FL
- Jeanene Alessi-Graziano
- Parion Alexander
- Alexandra Victoria PSYD Inc
- Laurent Alfonso Azcona
- Mued Alghadir Alkhalaileh
- Muaz Ali
- Damaris Alicano
- All Care Solutions of Broward LLC
- All in Health Care, Inc
- All Professional Home Care, LLC
All providers in Weston, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.