Nimra S Ali, PA-C
Individual provider Active NPI Physician Assistant · Medina, OH
NPI 1699288647 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1699288647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.005338RX (OH)
- Practice address
- 1000 E Washington St
Medina, OH 44256-2170 - Phone
- (330) 725-1000
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medina Hospital
Practice addresses (Care Compare)
1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000
Hospital & facility affiliations
- Medina Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213002985 | OH | Practitioner - Physician Assistant | 3779841044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.005338RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati LLC | Current |
Accepting new patients | |
| Medina Hospital | Current |
Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Physician Assistant | Current |
Accepting new patients |
Locations
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
2600 N Limestone St
Ste 150
Springfield, OH 45503
Phone (937) 523-9850
900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005338RX | OH | Yes |
Addresses
Primary practice location
1000 E Washington St
Medina, OH 44256-2170
Mailing address
1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.