Mahmoud Ismail Ali, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME110173 Issued in FL

Practice address

2810 Highway 77 Ste C
Panama City, FL 32405-4498

Phone

(850) 818-0250

Fax

(850) 818-0450

NPI assigned

Dec 1, 2005

Last updated

May 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Arrowhead Anesthesia Associates

  • Anesthesiology Physician
  • Colton, CA
  • NPI 1942287487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1700860822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 77 STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054498",
            "telephone_number": "850-818-0250",
            "fax_number": "850-818-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 77 STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054498",
            "telephone_number": "850-818-0250",
            "fax_number": "850-818-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MAHMOUD",
        "middle_name": "ISMAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "19091",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A12287",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME110173",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08875800",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ZZ",
            "license": "MASTER DEGREE",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS MEDICAL BOARD",
            "identifier": "19091",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashda Albibi, M. D.
• Riyad Albibi, M.D
• Patricia Alday
• Denise Victoria Alexander, M.A.
• Evin L Alexander
• Ahmad Alkilani, M.D.
• All About Women, OB-GYN, CHTD
• All American Hearing (Digital Hearin Instruments)
• All American Ppec LLC
• All Clear Hearing Centers LLC

• Pain Medicine (Anesthesiology) Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.