Individual provider Active NPI

Ali Marzooq, MD

  • Dermatology Physician
  • Great Falls, MT
National Provider Identifier
1740677079
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
161895 Issued in MT
Practice address
400 13TH Ave S Ste 206
Great Falls, MT 59405-4300
Phone
(406) 455-2831
NPI assigned
Apr 24, 2015
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD61283001 WA
Dermatology Physician 207N00000X 161895 MT Primary
Internal Medicine Physician 207R00000X 57008 AZ

Addresses

Primary practice location

400 13TH Ave S Ste 206
Great Falls, MT 59405-4300

Mailing address

PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-5000

Other practice location 1

5 NE 4th St Ste B
Coupeville, WA 98239-3630
Phone (360) 336-3026

Other practice location 2

1600 Continental Pl Ste 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220723000192 WA Practitioner - Internal Medicine 9739427626 Reassigns benefits to 1 organization
I20250905003756 MT Practitioner - Dermatology 9739427626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1600 Continental PL
Suite 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026

400 13TH Ave S
Suite 206
Great Falls, MT 59405-4300
Phone (406) 455-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions938
Removal or shaving of skin growth1-10
Skin biopsy234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
161895MTMDDermatology Physician
MD61283001WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Silver Falls Dermatology, LLC CurrentSince Sep 1, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Aug 22, 2025 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Aug 22, 2025 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

400 13th Ave S
Ste 206
Great Falls, MT 59405
Phone (406) 731-8852

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

3110 Commercial Ave
Ste 105
Anacortes, WA 98221
Phone (360) 336-3026

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

5 NE 4th St
Ste B
Coupeville, WA 98239
Phone (360) 336-3026

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

1600 Continental Pl
Ste 101
Mount Vernon, WA 98273
Phone (360) 336-3026

Interoperability endpoints

  • Direct secure messaging: amarzooq57694@benefishs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1740677079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-455-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S STE 206",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "406-455-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 NE 4th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393630",
            "country_code": "US",
            "telephone_number": "360-336-3026",
            "fax_number": "360-428-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Continental Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735607",
            "country_code": "US",
            "telephone_number": "360-336-3026",
            "fax_number": "360-428-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZOOQ",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD61283001",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "161895",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "57008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.