NPIMap

Organization Active NPI

Fazal Akbar Ali MD PC

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1730515362
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24129 Issued in OK
Legal business name
FAZAL AKBAR ALI MD PC
Practice address
4221 S Western Ave Ste 5020
Oklahoma City, OK 73109-3445
Phone
(405) 563-3998
NPI assigned
Sep 14, 2013
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Fazal Akbar Ali, M.D.NPI 1003956285
Title
M.D.
Phone
(405) 563-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 24129 OK Primary

Addresses

Primary practice location

4221 S Western Ave Ste 5020
Oklahoma City, OK 73109-3445

Mailing address

4221 S Western Ave Ste 5020
Oklahoma City, OK 73109-3445
Phone (405) 563-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403000471 OK Part B Supplier - Clinic/Group Practice 3678704848 Receives reassigned benefits from 4 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Fazal Akbar Ali MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1730515362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 5020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093445",
            "telephone_number": "405-563-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 5020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093445",
            "telephone_number": "405-563-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZAL AKBAR ALI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FAZAL",
        "authorized_official_middle_name": "AKBAR",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "405-563-3998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "24129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.