Individual provider Active NPI

Asad Moiz Ali, MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1790715233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071369 Issued in FL
Practice address
6078 14TH St West
Bradenton, FL 34207-4106
Phone
(941) 752-1400
Fax
(941) 752-0192
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0071369 FL Primary

Addresses

Primary practice location

6078 14TH St West
Bradenton, FL 34207-4106

Mailing address

6078 14TH Street West
Bradenton, FL 34207-4106
Phone (941) 752-1400

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
I20120518000324 FL Practitioner - Internal Medicine 1254594880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6078 14TH St W
Bradenton, FL 34207-4104

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Manatee Springs Rehabilitation and Nursing Center Nursing home, Bradenton, FL, CCN 105525
  • Casa Mora Rehabilitation and Extended Care Nursing home, Bradenton, FL, CCN 105327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Inc CurrentSince Dec 1, 1997 Accepting new patients
Manatee Operating LLC Past Accepting new patients
Newgen Health Partners LLC Internal Medicine Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients

Locations

6078 14th St W
Bradenton, FL 34207
Phone (941) 752-1400

5627 9th St E
Bradenton, FL 34203
Phone (941) 739-4432

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790715233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6078 14TH STREET WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074106",
            "telephone_number": "941-752-1400",
            "fax_number": "941-752-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6078 14TH ST WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074106",
            "telephone_number": "941-752-1400",
            "fax_number": "941-752-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ASAD",
        "middle_name": "MOIZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.