Active NPI
Ali Mastali, M.D.
- General Practice Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18753
- Practice address
- 313 C Columbia
University Garden
San Juan, PR 00983 - Phone
- (424) 757-3037
- NPI assigned
- Jun 3, 2014
- Last updated
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18753 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Frank C Alario MD PL | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | 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.
-
dba Comprehensive Family Health
- Family Medicine Physician
- Hollywood, FL
- NPI 1285932947
-
dba Kayenta Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Kayenta, AZ
- NPI 1285750125
-
dba Lodge Grass Clinic
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
dba Chemehuevi Health Clinic
- Federal Public Health Clinic/Center
- Havasu Lake, CA
- NPI 1396022026
-
dba Inscription House Health Center
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
-
dba Ton Sells Hospital Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1699717785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.