Cyrus Ali, M.D.
Individual provider Active NPI Surgery Physician · Santa Fe, NM
NPI 1831374610 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1831374610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2009-0197 (NM)
- Practice address
- 1630 Hospital Dr
Suite 240
Santa Fe, NM 87505-4772 - Phone
- (505) 913-3975
- Fax
- (505) 986-8001
- NPI assigned
- Dec 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of New Mexico School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
100 E Warm Springs Ave
Suite B
Boise, ID 83712-6243
Phone (208) 381-6930
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628002267 | ID | Practitioner - General Surgery | 2668527326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2009-0197 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Surgery | Current |
Accepting new patients |
| St. Vincent Hospital | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
100 E Warm Springs Ave
#B
Boise, ID 83712
Phone (208) 381-6930
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1210 NW 16th St
Ste 1241
Fruitland, ID 83619
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255
9850 W St Lukes Dr
Ste 260
Nampa, ID 83687
Phone (208) 381-3915
Interoperability endpoints
- cali85900@direct.slhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2009-0197 | NM | Yes |
Addresses
Primary practice location
1630 Hospital Dr
Suite 240
Santa Fe, NM 87505-4772
Mailing address
1630 Hospital Dr
Suite 240
Santa Fe, NM 87505-4772
Phone (505) 913-3975
Other providers in Santa Fe, NM
- Alegre Psychotherapy and Counseling, LLC
- Aleracare of New Mexico Inc
- Ashley S Alexander
- Edwyna I Alexander
- Ti Alexander
- Alignment of Life Inc
- All Ages Speech Therapy
- Allcare Physical Therapy LLC
- Alicia Allen
- Maryon Elizabeth Allen
All providers in Santa Fe, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.