Ali Mahdi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD476543 Issued in PA

Practice address

601 S Arch St
Connellsville, PA 15425-4000

Phone

(724) 626-2630

NPI assigned

Jul 18, 2018

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

Locations

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.

• Centerville Clinics, Inc.

  • Family Medicine Physician
  • Fredericktown, PA
  • NPI 1801877048
  Medicare reassignment NPD
• Centerville Clinics Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1598314908

  Family Medicine

  NPD
• Centerville Clinics, Inc

  • Specialist
  • Fredericktown, PA
  • NPI 1720339393
  NPD
• Centerville Clinics, Inc.

  • Radiologic Technologist
  • Fredericktown, PA
  • NPI 1568566867
  NPD
• Centerville Clinics, Inc.

  • Clinical Medical Laboratory
  • Fredericktown, PA
  • NPI 1811978166
  NPD
• Centerville Clinics, Inc.

  • Cardiovascular Disease Physician
  • Fredericktown, PA
  • NPI 1902887250
  NPD
• Centerville Clinics, Inc.

  • Podiatrist
  • Fredericktown, PA
  • NPI 1922089275
  NPD

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1952887291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254000",
            "telephone_number": "724-626-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Old National Pike",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "PA",
            "postal_code": "153332114",
            "country_code": "US",
            "telephone_number": "724-632-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHDI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD476543",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD476543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lowry, LMT
• Andrew J. Loy, M.ED./ED.S., LPC
• Melissa A. Loy, M.ED., LPC
• Sarah Lumley, D.O.
• Heather Maceiko, LCSW
• Francis Shane Malone
• Jody Mangus
• Linday J Martin
• Gregory Martray, M.S. ED., NCC, LPC
• Renee Elizabeth Massari, DMD

• Family Medicine Physician in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.