Fathi Idris Ali, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

44108 Issued in TN

Practice address

1220 Trotwood Ave
Suite 401
Columbia, TN 38401-6433

Phone

(931) 388-8622

Fax

(931) 381-7270

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centennial Heart LLC

  • Specialist
  • Nashville, TN
  • NPI 1245393057

  Cardiovascular Disease, TN

  Medicare reassignment Care Compare group NPD
• Centennial Neuroscience, LLC

  • Neurology Physician
  • Nashville, TN
  • NPI 1104152859
  NPD (past)
• Gainesville Heart and Vascular Group PC

  • Specialist
  • Gainesville, GA
  • NPI 1477861557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126

  Hospital

  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1720032345

  Hospital

  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Smyrna, TN
  • NPI 1992776405

  Hospital

  Care Compare affiliation
• Saint Thomas West Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648

  Hospital

  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205

  Hospital

  Care Compare affiliation

Specialty

Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centennial Heart LLC 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197
• Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as individual

Quality

87.04

Promoting interoperability

99

Improvement activities

40

Cost

87.05

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7421/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2022.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1811905409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303 A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-540-4255",
            "fax_number": "931-540-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 TROTWOOD AVE",
            "address_2": "SUITE 401",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016433",
            "telephone_number": "931-388-8622",
            "fax_number": "931-381-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FATHI",
        "middle_name": "IDRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "44108",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "44108",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "44108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4204226",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3379860",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509829",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "06CBBCG",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FATHI.ALI@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1220 Trotwood Ave",
            "address_2": "SUITE 401",
            "city": "Columbia",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384016433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aimee Marie Alberd
• John Dale Alden III, PH.D.
• Kristin Nicole Aldridge
• Tessa Reanne Aldridge
• Angela A Alexander, APRN
• Alicia a Victory, PSYD, LLC
• Caroline Whitlow Allen, M.S., CCC-SLP
• Lawrence Allen
• Robert Allen, PT
• Tanya Allen, LPN

• All providers in Columbia, TN
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.