Farhan Ali, MD
Individual provider Active NPI Internal Medicine Physician · Yakima, WA
NPI 1720548274 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1720548274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD.61308824 (WA)
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3799 - Phone
- (509) 575-8000
- NPI assigned
- Mar 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yakima Valley Memorial Physicians
Practice addresses (Care Compare)
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
Hospital & facility affiliations
- Yakima Valley Memorial
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20221018000389 | WA | Practitioner - Internal Medicine | 6406263904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.61308824 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current |
Accepting new patients | |
| Yakima Valley Memorial Physicians | Current |
Accepting new patients | |
| Yakima Valley Memorial Hospital Association | Past | Accepting new patients |
Locations
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.61308824 | WA | Yes |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3799
Mailing address
2811 Tieton Dr
Yakima, WA 98902-3799
Phone (509) 575-8000
Other providers in Yakima, WA
- Hilary B Alexander
- Joel Alexander
- Tara Alexander
- Nathan Alhalel
- Amro Ali
- Aliage S Mason LMP-C
- Jonathan William Alke
- Bonny Alkofer
- Kaylah Jean Allaire
- Kathleen Lynn Allen-Jacoby
All providers in Yakima, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. 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.