Mir Akif Ali, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036-047763 Issued in IL

Practice address

2400 W Devon Ave
Ste# 213
Chicago, IL 60659-1963

Phone

(773) 277-6589

Fax

(773) 277-1841

NPI assigned

Jun 23, 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 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDJACA
• Direct secure messaging: mali6010@direct.achn.net

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692

  IL

  Medicare reassignment NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1447321898
  NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD
• Adventist Glenoaks Hospital

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  NPD (past)
• Lake Shore Adult & Geriatric Medicine, LTD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1326056276
  NPD (past)
• Theodore Handrup MD LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1235152687
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1922034909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W. 26TH ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234036",
            "telephone_number": "773-277-6589",
            "fax_number": "773-277-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W DEVON AVE",
            "address_2": "STE# 213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591963",
            "telephone_number": "773-277-6589",
            "fax_number": "773-277-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR",
        "middle_name": "AKIF",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036047763",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-047763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047763",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01622104",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayder Ali
• Hussain Ali, DDS
• Hyder Ali, MD
• Imran Wajid Ali, M.D.
• Khliq Ali
• Mir Haroon Salman Ali, MBBS
• Mohammad Masood Ali, MD
• Mohammed Ali
• Mohammed H Ali, MD
• Mohammed Jawad Ali, MD

• All providers in Chicago, IL
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.