Individual provider Active NPI

Ali Imran, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1861929580
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61661 Issued in AZ
Practice address
1130 W Grove Ave Ste 115
Mesa, AZ 85210-4942
Phone
(480) 306-5000
Fax
(480) 452-0300
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61661 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 72994-20 WI
Hospitalist Physician 208M00000X 61661 AZ

Addresses

Primary practice location

1130 W Grove Ave Ste 115
Mesa, AZ 85210-4942

Mailing address

1130 W Grove Ave Ste 115
Mesa, AZ 85210-4942
Phone (480) 306-5000

Other practice location 1

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

Other practice location 2

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

Other identifiers 1

IdentifierTypeStateIssuer
100100534MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aimran292022@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200715000862 WI Practitioner - HospitalistPractitioner - Internal Medicine 9537430046 Reassigns benefits to 6 organizations
I20201117000195 AZ Practitioner - Internal Medicine 9537430046 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians
Pioneer Hospitalists, PLLCGroup PAC ID 0941290290, 50 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (888) 488-7640

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111
  • Haven of Show Low Nursing home, Show Low, AZ, CCN 035139
  • Tempe Post Acute Nursing home, Tempe, AZ, CCN 035106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61661AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Dec 1, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jul 3, 2020 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Voyage Medical Primary Care Internal Medicine CurrentSince Nov 7, 2023 Accepting new patients
Lifeline Hospitalist Associates LLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Jul 1, 2021 Accepting new patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jul 3, 2020 Accepting new patients
Vituity - Arizona Hospitalists PC Internal Medicine Current Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Dec 19, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Jun 29, 2020 Accepting new patients
Oak Medical SC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Apogee Medical Group Waukesha, SC Hospitalist CurrentSince Feb 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Western Canal Healthcare LLC Past Accepting new patients
Haven of Show Low, LLC Past Accepting new patients
Banner - University Medical Center South Campus LLC Past Accepting new patients

Locations (25 of 32)

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1130 W Grove Ave
Ste 115
Mesa, AZ 85210
Phone (480) 306-5000

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

2402 S Rural Rd
Ste 101
Tempe, AZ 85282
Phone (480) 516-5819

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1625 N Campbell Ave
Tucson, AZ 85719

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

3267 S 16th St
Ste 103
Milwaukee, WI 53215
Phone (414) 671-1449

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: aimranmd342814@carlehiedirect.net

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861929580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W GROVE AVE STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104942",
            "telephone_number": "480-306-5000",
            "fax_number": "480-452-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W GROVE AVE STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104942",
            "telephone_number": "480-306-5000",
            "fax_number": "480-452-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Greenbrier Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116519",
            "country_code": "US",
            "telephone_number": "920-288-8000",
            "fax_number": "920-288-3052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114508",
            "country_code": "US",
            "telephone_number": "414-585-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMRAN",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "61661",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "72994-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "61661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100534",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aimran292022@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2845 Greenbrier Rd",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543116519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2845 Greenbrier Rd",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543116519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.