Active NPI
Ahmad Khaled Abdul Ali, DO
- Surgery Physician
- Trenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101023620
- Practice address
- 5450 Fort St
Trenton, MI 48183-4601 - Phone
- (734) 671-3297
- NPI assigned
- Jun 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0102207023 | VA | |
| Surgery Physician | 208600000X | 5101023620 | MI | Primary |
Addresses
Primary practice location
5450 Fort St
Trenton, MI 48183-4601
Mailing address
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3297
Other practice location 1
2232 Wilborn Ave Ste C
South Boston, VA 24592-1662
Phone (434) 517-3910
Other practice location 2
2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800
Other names 1
- Dr. Ahmad K Abdul Ali
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2006 Health Campus Dr
Suite 200
Rockingham, VA 22801-8679
Phone (540) 689-5600
2232 Wilborn Ave
Suite C
South Boston, VA 24592-1662
Phone (434) 517-3910
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8960
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 17 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207023 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Surgery | Current | Accepting new patients |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients | |
| Rockingham Memorial Hospital | Past | Accepting new patients |
Locations
500 Martha Jefferson Dr
Ste 415C
Charlottesville, VA 22911
Phone (434) 654-8960
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555
2232 Wilborn Ave
Ste C
South Boston, VA 24592
Phone (434) 517-3910
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
Interoperability endpoints
- aabdulali764189@direct.sentara.net
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Surgery
-
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
- Customized Equipment (DME)
- Harrisonburg, VA
- NPI 1043238967
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
-
- Durable Medical Equipment & Medical Supplies
- Elkton, VA
- NPI 1952563827
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1700307808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FORT ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834601",
"telephone_number": "734-671-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 FORT ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834601",
"telephone_number": "734-671-3297"
}
],
"practiceLocations": [
{
"address_1": "2232 Wilborn Ave Ste C",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245921662",
"country_code": "US",
"telephone_number": "434-517-3910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2006 Health Campus Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "VA",
"postal_code": "228018679",
"country_code": "US",
"telephone_number": "540-689-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDUL ALI",
"first_name": "AHMAD",
"middle_name": "KHALED",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102207023",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101023620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AHMAD",
"last_name": "ABDUL ALI",
"middle_name": "K",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.