Individual provider Active NPI

Hassan Ali, M.D.

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1780632109
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 58410 Issued in FL
Practice address
3661 S Miami Ave
Suite 402
Miami, FL 33133-4236
Phone
(305) 858-3430
Fax
(305) 858-6950
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME 58410 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 402
Miami, FL 33133-4236

Mailing address

7100 Pines Blvd
Suite 23
Pembroke Pines, FL 33024-7355
Phone (954) 967-0100

Other identifiers 1

IdentifierTypeStateIssuer
251829500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000976 FL Practitioner - NephrologyPractitioner - Internal Medicine 4789675448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11040 SW 184 St
South Dade Kidney Center
Cutler Bay, FL 33157-6602
Phone (305) 443-5702

1982 NE 8TH St
Homestead, FL 33033-4704
Phone (800) 424-6589

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 58410FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Hassan Ali MD PA Nephrology CurrentSince Jul 1, 2003 Accepting new patients
Ma Emergency Associates PL Past Accepting new patients
Florida Hemodialysis Inc Nephrology PastSince Jan 30, 2006 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

3661 S Miami Ave
Ste 402
Miami, FL 33133
Phone (305) 815-0055

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

7100 Pines Blvd
Ste 23
Pembroke Pines, FL 33024
Phone (954) 967-0107

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1780632109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 PINES BLVD",
            "address_2": "SUITE 23",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247355",
            "telephone_number": "954-967-0100",
            "fax_number": "954-967-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-858-3430",
            "fax_number": "305-858-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "HASSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 58410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251829500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.