Individual provider Active NPI

Khadija Awais Ali, MD

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1902425549
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD29790 Issued in ME
Practice address
1161 21St Ave S
Nashville, TN 37232-3438
Phone
(615) 936-0060
NPI assigned
Apr 14, 2020
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 348635 LA
Neurology Physician 2084N0400X 2025038832 MO
Neurology Physician 2084N0400X 0101286702 VA
Neurology Physician 2084N0400X MD227077 OR
Neurology Physician 2084N0400X 74861 TN
Neurology Physician 2084N0400X MD70036156 WA
Neurology Physician 2084N0400X MD29790 ME Primary
Neurology Physician 2084N0400X 2025-03268 NC
Neurology Physician 2084N0400X 036176658 IL

Addresses

Primary practice location

1161 21St Ave S
Nashville, TN 37232-3438

Mailing address

1161 21St Ave S
Nashville, TN 37232-0011
Phone (615) 936-0060

Other practice location 1

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 2

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 3

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other practice location 4

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 5

100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 6

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103

Other practice location 7

58 Carroll St
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 8

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300

Other practice location 9

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 10

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 11

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 12

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 13

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 14

1463 Finnegan Ln Unit E
North Brunswick, NJ 08902-5025
Phone (866) 239-1650

Other practice location 15

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 16

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Other practice location 17

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 18

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 546-5212

Other practice location 19

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5070

Other practice location 20

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 21

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 22

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 23

375 N Wall St Ste P510
Kankakee, IL 60901-3492
Phone (815) 935-0750

Other practice location 24

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-3733

Other identifiers 1

IdentifierTypeStateIssuer
348635OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, ME, NJ, IL, IN, TN, VA, NY, NC10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20250924001863 OR Practitioner - Neurology 8729583422 Reassigns benefits to 2 organizations
I20250924003395 WA Practitioner - Neurology 8729583422 Reassigns benefits to 4 organizations
I20250929003338 ME Practitioner - Neurology 8729583422 Reassigns benefits to 5 organizations
I20251023001318 NJ Practitioner - Neurology 8729583422 Reassigns benefits to 1 organization
I20251029003532 IL Practitioner - Neurology 8729583422 Reassigns benefits to 1 organization
I20251115000329 IN Practitioner - Neurology 8729583422 Reassigns benefits to 1 organization
I20251208002525 TN Practitioner - Neurology 8729583422 Reassigns benefits to 1 organization
I20251218001226 VA Practitioner - Neurology 8729583422 Reassigns benefits to 2 organizations
I20260113000918 NY Practitioner - Neurology 8729583422 Reassigns benefits to 1 organization
I20260114001514 NC Practitioner - Neurology 8729583422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WakemedGroup PAC ID 7315937612, 72 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-3170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176658ILMDNeurology Physician
348635LAMDNeurology Physician
MD29790MEMDNeurology Physician
2025038832MOMDNeurology Physician
2025-03268NCMDNeurology Physician
MD227077ORMDNeurology Physician
74861TNMDNeurology Physician
0101286702VAMDNeurology Physician
MD70036156WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Wa CurrentSince Oct 13, 2025 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 24, 2026 Accepting new patients
Central Maine Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Riverside Physician Services Inc CurrentSince Nov 6, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 13, 2025 Accepting new patients
Bridgton Hospital CurrentSince Sep 1, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Wakemed CurrentSince Jan 25, 2026 Accepting new patients
Rumford Hospital CurrentSince Sep 1, 2025 Accepting new patients
Silverton Health CurrentSince Sep 10, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Riverside Health System CurrentSince Oct 17, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 19, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 10, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 13, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 19, 2025 Accepting new patients
Riverside Health System Current Accepting new patients
Bridgton Hospital CurrentSince Sep 1, 2025 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Multicare Health System Current Accepting new patients
Hendricks County Hospital CurrentSince Nov 11, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Jan 17, 2026 Accepting new patients
Silverton Health Current Accepting new patients
Central Maine Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 10, 2025 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Nov 6, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 13, 2025 Accepting new patients
Wakemed CurrentSince Jan 25, 2026 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Hendricks County Hospital Neurology CurrentSince Nov 11, 2025 Accepting new patients
Wyoming County Current Accepting new patients
Silverton Health CurrentSince Sep 10, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 10, 2025 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Oct 17, 2025 Accepting new patients
Rumford Hospital CurrentSince Sep 1, 2025 Accepting new patients
Multicare Health System Past Accepting new patients
Vanderbilt University PastSince Jun 23, 2024 Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations (25 of 52)

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

100 Hospital Ln
Ste 225
Danville, IN 46122
Phone (317) 718-4730

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2021 Wendell Valley Blvd
Wendell, NC 27591
Phone (919) 350-8137

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1463 Finnegan Ln
Unit E
North Brunswick, NJ 08902
Phone (866) 239-1650

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: kali1751078@direct.novanthealth.org

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 2

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1902425549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320011",
            "telephone_number": "615-936-0060"
        },
        {
            "country_code": "US",
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        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
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            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
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        {
            "address_1": "15790 Paul Vega Md Dr",
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            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
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            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
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            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
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        {
            "address_1": "1901 S Shady St",
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            "city": "Mountain City",
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            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-1300",
            "fax_number": "573-248-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Finnegan Ln Unit E",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089025025",
            "country_code": "US",
            "telephone_number": "866-239-1650",
            "fax_number": "917-997-9626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-546-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 N Wall St Ste P510",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013492",
            "country_code": "US",
            "telephone_number": "815-935-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "KHADIJA",
        "middle_name": "AWAIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "348635",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2025038832",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101286702",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD227077",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "74861",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD70036156",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD29790",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-03268",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036176658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "348635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.