Aaliya R Ali, PA-C
Individual provider Active NPI Surgical Physician Assistant · Celebration, FL
NPI 1831601517 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1831601517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA9110882 (FL)
- Practice address
- 410 Celebration PL Ste 302
Celebration, FL 34747-5435 - Phone
- (407) 303-3824
- Fax
- (407) 303-3825
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sand Lake Dermatology Center PA
Practice addresses (Care Compare)
7335 W Sand Lake Rd
Suite 200
Orlando, FL 32819-5539
Phone (407) 352-8553
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 82.33
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180326002949 | FL | Practitioner - Physician Assistant | 5890057178 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA91108822 | FL | MD | Physician Assistant |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current |
Accepting new patients |
Locations
410 Celebration Pl
Ste 302
Kissimmee, FL 34747
Phone (407) 303-3824
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760
787 37th St
Ste E170
Vero Beach, FL 32960
Phone (772) 569-3212
1685 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 896-8097
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- aali73163@adventhealth.direct-ci.com
- aali@sandlake.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA91108822 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9110882 | FL | Yes |
Addresses
Primary practice location
410 Celebration PL Ste 302
Celebration, FL 34747-5435
Mailing address
410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone (407) 303-3824
Other practice location 1
7335 W Sand Lake Rd Ste 200
Orlando, FL 32819-5539
Phone (407) 352-8553
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aali@sandlake.emadirect.md | Direct |
Other providers in Celebration, FL
- Adventist Health System-Sunbelt Inc
- Asim Aijaz
- Elizabeth Aitken
- Uthman Abdulrahman Alamoudi
- Autumn Priscilla Albino
- Afra Ali
- Aligner in a Box
- Steven Allegro
- Norris Michael Allen
- Oluyemisi Olawunmi Amoda
All providers in Celebration, FL · Surgical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. 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.