Omar Azam Ali, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

155255 Issued in MA

Practice address

14 Research PL
N Chelmsford, MA 01863-2412

Phone

(978) 256-6607

Fax

(978) 250-8189

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

Tufts University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• LGH Merrimack Valley Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • North Chelmsford, MA
  • NPI 1952695884
  Medicare reassignment Care Compare group NPD
• Merrimack Valley Cardiology

  • Cardiovascular Disease Physician
  • Chelmsford, MA
  • NPI 1235240821
  NPD
• Access Medical Group,PC

  • Hematology & Oncology Physician
  • White Plains, NY
  • NPI 1144240680

  Cardiovascular Disease

  NPD (past)

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

• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation
• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1881634848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "OMAR",
        "middle_name": "AZAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "155255",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "155255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072670",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A Bain, NP
• Dawn Batchelder, PA-C
• Melanie Louise Bernard, R.N.
• Michael G Bertos, M.D.
• Richard Gartner Birkhead, MD

• Interventional Cardiology Physician in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Interventional Cardiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.