NPIMap

Individual provider Active NPI

Mansoor Ali, MD

  • Internal Medicine Physician
  • Freeport, IL
National Provider Identifier
1760944763
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036158592 Issued in IL
Practice address
1045 W Stephenson St
Freeport, IL 61032-4864
Phone
(815) 599-6000
Fax
(815) 599-7974
NPI assigned
Apr 1, 2019
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036158592 IL Primary
Hospitalist Physician 208M00000X 036158592 IL

Addresses

Primary practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Mailing address

8627 School St
Morton Grove, IL 60053-2922
Phone (224) 766-9130

Other practice location 1

1s450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

Other names 1

  • Mansoor Syed Ali Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809000433 IL Practitioner - Internal Medicine 5092046805 Reassigns benefits to 3 organizations
Practice locations: Glendale Heights, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.21

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC Hospitalist CurrentSince Jan 10, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince Sep 16, 2022 Accepting new patients
Community Home Physicians, LLC Internal Medicine CurrentSince Jun 25, 2022 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jan 10, 2025 Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

405 W Jackson St
Carbondale, IL 62901

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
VI at the GlenGlenview, IL, CCN 146107 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 15, 2024
Jul 15, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • CC Lake LLC

    dba Vi at The Glen

    • Skilled Nursing Facility
    • Glenview, IL
    • NPI 1649220906

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1760944763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 SCHOOL ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532922",
            "telephone_number": "224-766-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324864",
            "telephone_number": "815-599-6000",
            "fax_number": "815-599-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1s450 Summit Ave",
            "address_2": "Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "60181",
            "country_code": "US",
            "telephone_number": "630-320-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MANSOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036158592",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036158592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANSOOR",
            "last_name": "ALI",
            "middle_name": "SYED",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

Verify at the official NPI Registry.