Organization Active NPI

Huma Ali MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • Parkland, FL
National Provider Identifier
1821314956
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME89011 Issued in FL
Legal business name
HUMA ALI MD PA
Practice address
8195 NW 105TH LN
Parkland, FL 33076-4763
Phone
(954) 926-3155
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Kristin Blasdell
Title
Administrator
Phone
(954) 946-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X ME89011 FL Primary

Addresses

Primary practice location

8195 NW 105TH LN
Parkland, FL 33076-4763

Mailing address

1451 W Cypress Creek Rd
#357
Fort Lauderdale, FL 33309-1961
Phone (954) 946-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000638 FL Part B Supplier - Clinic/Group Practice 9436288859 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1451 W Cypress Creek Rd
#357
Fort Lauderdale, FL 33309

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1821314956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD",
            "address_2": "#357",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091961",
            "telephone_number": "954-946-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 NW 105TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764763",
            "telephone_number": "954-926-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMA ALI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BLASDELL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-946-4539"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME89011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.