Active NPI
Mohammed Omer Khalil Ali, M.D.
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1730825050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2022020441
- Practice address
- 2301 Holmes St,University Health Truman Medical Center
Kansas City, MO 64108 - Phone
- (816) 404-0957
- Fax
- (816) 404-0003
- NPI assigned
- May 10, 2022
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MO | ||
| Internal Medicine Physician | 207R00000X | 2022020441 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St,University Health Truman Medical Center
Kansas City, MO 64108
Mailing address
University Health Truman Medical Center
2301 Holmes St.
Kansas City, MO 64108
Phone (816) 404-4175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220823004054 | MO | Order and Referring Only - Internal Medicine | 9537542568 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022020441 | MO | MD | Internal Medicine Physician |
Interoperability endpoints
- mali457419@direct.saint-lukes.org
- mali715083@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1730825050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY HEALTH TRUMAN MEDICAL CENTER",
"address_2": "2301 HOLMES ST.",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-404-4175",
"fax_number": "816-404-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST,UNIVERSITY HEALTH TRUMAN MEDICAL CENTER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-404-0957",
"fax_number": "816-404-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MOHAMMED",
"middle_name": "OMER KHALIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-10",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2022020441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.