Organization Active NPI

Dr Hassan Ali MD PA

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1861418766
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 58410 Issued in FL
Legal business name
DR HASSAN ALI MD PA
Practice address
3661 S Miami Ave
Suite 402
Miami, FL 33133-4236
Phone
(305) 858-3430
Fax
(305) 858-6950
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Hassan Ali, M.D.NPI 1780632109
Title
Owner
Phone
(305) 858-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME 58410 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 402
Miami, FL 33133-4236

Mailing address

7100 Hollywood Blvd Ste 19
Pembroke Pines, FL 33024-7355
Phone (954) 967-0107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520001318 FL Part B Supplier - Clinic/Group Practice 0446241103 Receives reassigned benefits from 2 practitioners
Practice locations: Cutler Bay, FL; North Miami, FL; Miami, FL; Kendall, FL; Homestead, FL; Hialeah, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

1982 NE 8th St
Homestead, FL 33033
Phone (305) 247-3506

1951 NW 7th Ave
Miami, FL 33136
Phone (305) 930-8939

7815 Coral Way
Ste 115
Miami, FL 33155
Phone (305) 261-4823

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1861418766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HOLLYWOOD BLVD STE 19",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247355",
            "telephone_number": "954-967-0107",
            "fax_number": "954-967-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-858-3430",
            "fax_number": "305-858-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HASSAN ALI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-858-3430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 58410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.