Individual provider Active NPI

Abbas Syed Ali, M.D.

  • Cardiovascular Disease Physician
  • Clermont, FL
National Provider Identifier
1801899158
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27177 Issued in WV
Practice address
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711
Phone
(352) 242-2502
NPI assigned
May 31, 2005
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161216000985 WV Practitioner - Cardiovascular Disease (Cardiology) 0345143483 Reassigns benefits to 3 organizations
I20240906002708 CA Practitioner - Cardiovascular Disease (Cardiology) 0345143483 Reassigns benefits to 1 organization

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
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

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

LicenseStateTypeSpecialty
MD068643LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Jan 2, 2024 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jan 2, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Aug 26, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Aug 26, 2024 Accepting new patients
Webster County Memorial Hospital CurrentSince Jun 1, 2021 Accepting new patients
United Hospital Center, Inc. Cardiovascular Disease CurrentSince Aug 14, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.