Active NPI
Abbas Syed Ali, M.D.
- Cardiovascular Disease Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27177
- Practice address
- 3190 Citrus Tower Blvd Ste a
Clermont, FL 34711 - Phone
- (352) 242-2502
- NPI assigned
- May 31, 2005
- Last updated
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME83898 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | MD068643L | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 27177 | WV | Primary |
Addresses
Primary practice location
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4800
Other practice location 1
1491 Legends BLVD
Champions Gate, FL 33896-8393
Phone (352) 843-5723
Other practice location 2
3190 Citrus Tower Blvd Ste A
Clermont, FL 34711-6886
Phone (352) 242-2502
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aali46267@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | aali46267@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | aali46267@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD068643L | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Webster County Memorial Hospital | Current | Accepting new patients | |
| United Hospital Center, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Central Florida Cardiology Interpretations LLC | Past | Accepting new patients | |
| Florida Cardiology PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262
3551 Q St
Ste 101
Bakersfield, CA 93301
Phone (661) 325-6800
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Interoperability endpoints
- aali46267@direct.wvuhsdirect.com
Organizations & group practices 10
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.
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
dba Mercer Medical Group
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Cardiovascular Disease
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Cardiovascular Disease Physician
- Clermont, FL
- NPI 1023540036
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538611967
-
dba Bluefield Internal Medicine
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1699778704
-
- Cardiology Technician
- Sanford, FL
- NPI 1780807412
-
- Cardiovascular Disease Physician
- Winter Park, FL
- NPI 1871543157
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376960005
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1427176569
-
dba Kern Medical Center
- Pharmacy
- Bakersfield, CA
- NPI 1629081849
Hospital
-
dba Kern Medical Center
- Pharmacy
- Bakersfield, CA
- NPI 1699859223
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1801899158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-598-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 CITRUS TOWER BLVD STE A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-242-2502"
}
],
"practiceLocations": [
{
"address_1": "1491 Legends BLVD",
"address_purpose": "LOCATION",
"city": "Champions Gate",
"state": "FL",
"postal_code": "338968393",
"country_code": "US",
"telephone_number": "352-843-5723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3190 Citrus Tower Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347116886",
"country_code": "US",
"telephone_number": "352-242-2502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "ABBAS",
"middle_name": "SYED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME83898",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD068643L",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "27177",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aali46267@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "812 Gorman Ave",
"city": "Elkins",
"state": "WV",
"country_code": "US",
"postal_code": "262413181",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aali46267@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "812 Gorman Ave",
"city": "Elkins",
"state": "WV",
"country_code": "US",
"postal_code": "262413181",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aali46267@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "812 Gorman Ave",
"city": "Elkins",
"state": "WV",
"country_code": "US",
"postal_code": "262413181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.