Syed Omar Ali, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI 1902591902 · NPPES record last updated Apr 6, 2023

Key facts

NPI
1902591902
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone
(414) 955-0827
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230831000511 WI Order and Referring Only - Otolaryngology
Practitioner - Otolaryngology
8426411901

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Mailing address

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-0827

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.