Individual provider Active NPI

Bushra K Ali, M.D.

  • Hospitalist Physician
  • Toledo, OH
National Provider Identifier
1861668402
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35093947 Issued in OH
Practice address
4895 Monroe St Ste 203
Toledo, OH 43623-4349
Phone
(419) 725-2527
Fax
(419) 725-2528
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35093947 OH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35093947 OH
Hospitalist Physician 208M00000X 35093947 OH Primary

Addresses

Primary practice location

4895 Monroe St Ste 203
Toledo, OH 43623-4349

Mailing address

PO Box 8440
Toledo, OH 43623-0440
Phone (419) 725-2527

Other practice location 1

2005 Ashland Ave
Toledo, OH 43620
Phone (419) 841-7701

Other identifiers 5

IdentifierTypeStateIssuer
P00874900OtherOHMEDICARE RAILROAD
2964672MedicaidOH
3227246OtherOHUNITED HEALTH CARE
9096404OtherOHAETNA
000000676687OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000161 OH Practitioner - Internal Medicine 4981750429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4895 Monroe St
Suite 203
Toledo, OH 43623-4349
Phone (419) 725-2527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35093947OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RX Solutions Nwo, Inc. CurrentSince Aug 28, 2022 Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Internal Medicine Past Accepting new patients
Inpatient Consultants of Ohio, Inc Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4895 Monroe St
Ste 200
Toledo, OH 43623
Phone (419) 558-0800

Organizations & group practices 5

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": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1861668402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8440",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230440",
            "telephone_number": "419-725-2527",
            "fax_number": "419-725-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 MONROE ST STE 203",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234349",
            "telephone_number": "419-725-2527",
            "fax_number": "419-725-2528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43620",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "fax_number": "419-841-1691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "BUSHRA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35093947",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35093947",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35093947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00874900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2964672",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3227246",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9096404",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000676687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.