Mahmud Ali, M.D.
Individual provider Active NPI Family Medicine Physician · Easton, PA
NPI 1801001615 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1801001615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD441717 (PA)
- Practice address
- 325 Pine St
Easton, PA 18042-4554 - Phone
- (484) 546-5880
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
1431 Nursery St
Fogelsville, PA 18051-1612
2412 Cherryville Rd
Northampton, PA 18067-1148
Phone (610) 849-0200
3080 Hamilton Blvd
Allentown, PA 18103-3694
325 Pine St
Easton, PA 18042-4554
Phone (610) 829-2200
Hospital & facility affiliations
- Lehigh Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000650 | PA | Practitioner - Family Practice |
8123297165 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD441717 | PA | MD | Family Medicine Physician |
| 52793-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| Dedicated Pennsylvania Holding, LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| St Luke'S Physician Group Inc | Family Medicine | Current |
Accepting new patients |
| Dedicated Pennsylvania Holding, LLC | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Physician Group Inc. | Family Medicine | Current |
Accepting new patients |
| Dedicated Pennsylvania Holding, LLC | Family Medicine | Current |
Accepting new patients |
| Sacred Heart Healthcare System | Family Medicine | Past | Accepting new patients |
| Keystone Rural Health Consortia, Inc. | Past |
Accepting new patients | |
| Dedicated Pennsylvania Holding, LLC | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
1208 Hanover Ave
Allentown, PA 18109
Phone (610) 437-6490
421 Chew St
Allentown, PA 18102
Phone (610) 776-4500
450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758
1411 Union Blvd
Allentown, PA 18109
Phone (610) 351-6189
3570 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (610) 433-7481
1545 Broadway
Bethlehem, PA 18015
Phone (610) 865-6112
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
325 Pine St
Easton, PA 18042
Phone (484) 546-5880
619 Dalton St
Emmaus, PA 18049
Phone (610) 965-2574
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519
1575 N 52nd St
Ste S3
Philadelphia, PA 19131
Phone (267) 930-4858
330 W Oregon Ave
Ste 170
Philadelphia, PA 19148
Phone (267) 338-3411
Interoperability endpoints
- mali645598@direct2.lvhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52793-020 | WI | |
| Family Medicine Physician | 207Q00000X | MD441717 | PA | Yes |
Addresses
Primary practice location
325 Pine St
Easton, PA 18042-4554
Mailing address
1208 Hanover Ave
Allentown, PA 18109-2017
Phone (610) 437-6490
Other practice location 1
330 W Oregon Ave Ste 170
Philadelphia, PA 19148-4723
Phone (610) 437-6490 ext. 3011
Other providers in Easton, PA
- Alan V Dilsaver DDS LTD
- Hana Alasry
- Michelle Dyan Alviz Alberto
- Stacy Anne Kociolek Albrecht
- Vanessa Alfred
- Sheikh Asim Ali
- Emma Alise Allen
- Lakida Allen
- Allied Chiropractic Center
- Almut Dubischar LLC
All providers in Easton, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.