Active NPI
Ali Marzooq, MD
- Dermatology Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 161895
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 938 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161895 | MT | MD | Dermatology Physician |
| MD61283001 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Silver Falls Dermatology, LLC | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Current | 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
- 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.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
dba Frontier Dermatology
- Dermatology Physician
- Salem, OR
- NPI 1134375421
WA
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
dba Frontier Dermatology
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1417163635
-
dba Benefis Senior Services
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.