Active NPI
Khadija Awais Ali, MD
- Neurology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD29790
- Practice address
- 1161 21St Ave S
Nashville, TN 37232-3438 - Phone
- (615) 936-0060
- NPI assigned
- Apr 14, 2020
- Last updated
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348635 | Other | LA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, ME, NJ, IL, IN, TN, VA, NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036176658 | IL | MD | Neurology Physician |
| 348635 | LA | MD | Neurology Physician |
| MD29790 | ME | MD | Neurology Physician |
| 2025038832 | MO | MD | Neurology Physician |
| 2025-03268 | NC | MD | Neurology Physician |
| MD227077 | OR | MD | Neurology Physician |
| 74861 | TN | MD | Neurology Physician |
| 0101286702 | VA | MD | Neurology Physician |
| MD70036156 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Wa | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Neurology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Hendricks County Hospital | Neurology | Current | Accepting new patients |
| Wyoming County | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Vanderbilt University | Past | 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
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- 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.
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
dba WakeMed Professional Physicians Staff
- Internal Medicine Physician
- Raleigh, NC
- NPI 1194907717
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba HRH Associate Health
- General Practice Physician
- Danville, IN
- NPI 1497536163
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
NJ
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Regional Medical Center Everett
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
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",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323438",
"telephone_number": "615-936-0060"
}
],
"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"
},
{
"address_1": "300 Med Tech Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042277",
"country_code": "US",
"telephone_number": "423-302-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15790 Paul Vega Md Dr",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"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",
"state": "TN",
"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",
"state": "VA",
"postal_code": "242731616",
"country_code": "US",
"telephone_number": "276-439-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.