Individual provider Active NPI

Mahmud Ali, M.D.

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1801001615
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441717 Issued in PA
Practice address
325 Pine St
Easton, PA 18042-4554
Phone
(484) 546-5880
NPI assigned
May 14, 2007
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52793-020 WI
Family Medicine Physician 207Q00000X MD441717 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110809000650 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 8123297165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD441717PAMDFamily Medicine Physician
52793-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 13, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 13, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Dedicated Pennsylvania Holding, LLC Current Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Dedicated Pennsylvania Holding, LLC Family Medicine CurrentSince May 1, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC CurrentSince May 1, 2020 Accepting new patients
St. Luke's Physician Group Inc. Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients
Keystone Rural Health Consortia, Inc. PastSince Jan 1, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1208 Hanover Ave
Allentown, PA 18109
Phone (610) 437-6490

1411 Union Blvd
Allentown, PA 18109
Phone (610) 351-6189

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

3570 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (610) 433-7481

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

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 (484) 526-7275

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

  • Direct secure messaging: mali645598@direct2.lvhn.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1801001615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092017",
            "telephone_number": "610-437-6490",
            "fax_number": "610-437-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PINE ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424554",
            "telephone_number": "484-546-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W Oregon Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191484723",
            "country_code": "US",
            "telephone_number": "610-437-6490 x3011",
            "fax_number": "610-437-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MAHMUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52793-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.