Abbas Syed Ali, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Clermont, FL
NPI 1801899158 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1801899158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 27177 (WV)
- Practice address
- 3190 Citrus Tower Blvd Ste a
Clermont, FL 34711 - Phone
- (352) 242-2502
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kern County Hospital Authority
Practice addresses (Care Compare)
3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000
Hospital & facility affiliations
- Kern Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, CA
- 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 |
|---|---|---|---|---|
| I20161216000985 | WV | Practitioner - Cardiovascular Disease (Cardiology) | 0345143483 | Reassigns benefits to 3 organizations |
| I20240906002708 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 0345143483 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME83898 | FL | MD | Cardiovascular Disease Physician |
| MD068643L | PA | MD | Cardiovascular Disease Physician |
| 27177 | WV | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn Inc. | Current |
Accepting new patients | |
| Kern County Hospital Authority | Current |
Accepting new patients | |
| United Hospital Center, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
| Princeton Community Hospital Assn., Inc | Current |
Accepting new patients | |
| Kern County Hospital Authority | Current |
Accepting new patients | |
| Webster County Memorial Hospital | Current |
Accepting new patients | |
| Florida Cardiology PA | Cardiovascular Disease | Past | Accepting new patients |
| Central Florida Cardiology Interpretations LLC | Past | Accepting new patients |
Locations
3551 Q St
Ste 101
Bakersfield, CA 93301
Phone (661) 325-6800
3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
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) 473-2000
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME83898 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | MD068643L | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 27177 | WV | Yes |
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
| 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) |
Other providers in Clermont, FL
- Danielle Alford
- Darrell Robert Alford
- Jeanette Brewer Alford
- Nicholas Alford
- Shanika Alfred
- Saeed Ali
- Kaylynn Marie Alicea
- Gayle Patricia Alis-Brown
- Alisa L Lewis LLC
- Alive & Well Corp
All providers in Clermont, FL · Cardiovascular Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 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.