Qumber Ali, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI 1891436093 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1891436093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1300 N 12TH St Ste 508
Phoenix, AZ 85006-2849 - Phone
- (602) 839-3927
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220629003039 | AZ | Order and Referring Only - Internal Medicine |
7113307794 | |
| I20250611003482 | AZ | Order and Referring Only - Gastroenterology |
7113307794 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1300 N 12TH St Ste 508
Phoenix, AZ 85006-2849
Mailing address
1300 N 12TH St Ste 508
Phoenix, AZ 85006-2849
Other providers in Phoenix, AZ
- Ghazal Ali
- Ismail Ibrahim Ali
- James Lea Ali
- Mohamed Abdirazak Ali
- Nyima S. Ali
- Safdar Ali
- Sania Ali
- Suleiman Ali
- Taylor Ali
- Alicia a. Garcia,PH.D.,L.L.C.
All providers in Phoenix, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.