Individual provider Active NPI

Ali Mastali, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1821401258
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18753 Issued in PR
Practice address
313 C Columbia
University Garden
San Juan, PR 00983
Phone
(424) 757-3037
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18753 PR Primary

Addresses

Primary practice location

313 C Columbia
University Garden
San Juan, PR 00983

Mailing address

313 C Columbia
University Garden
San Juan, PR 00983
Phone (424) 757-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140716002322 PR Practitioner - General Practice 2567688179 Practice locations: San Juan, PR
I20141119001894 TX Practitioner - Emergency MedicinePractitioner - General Practice 2567688179 Reassigns benefits to 3 organizations
I20191127000787 FL Practitioner - Internal Medicine 2567688179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18753PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince Jun 20, 2016 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Jun 11, 2023 Accepting new patients
Frank C Alario MD PL CurrentSince Sep 3, 2019 Accepting new patients
Ton Sells Hospital CurrentSince Mar 3, 2018 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 31, 2014 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
US Dept of HHS Past Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

5700 Stirling Rd
Ste 100
Hollywood, FL 33021
Phone (305) 396-3858

721 S Colorado Ave
Stuart, FL 34994
Phone (772) 888-2545

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

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.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1821401258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 C COLUMBIA",
            "address_2": "UNIVERSITY GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "424-757-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 C COLUMBIA",
            "address_2": "UNIVERSITY GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "424-757-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTALI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.