Individual provider Active NPI

Abdallah Ali, M.D

  • Family Medicine Physician
  • Parma, OH
National Provider Identifier
1962710582
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
390200000X Issued in OH
Practice address
1400 W Pleasant Valley Road
Parma, OH 44134
Phone
(440) 882-6595
Fax
(603) 420-8704
NPI assigned
Sep 16, 2010
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.121074 OH
Family Medicine Physician 207Q00000X 390200000X OH Primary

Addresses

Primary practice location

1400 W Pleasant Valley Road
Parma, OH 44134

Mailing address

1400 W Pleasant Valley Road
Parma, OH 44134
Phone (440) 882-6595

Other identifiers 1

IdentifierTypeStateIssuer
4OtherOHHMHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130827000740 OH Practitioner - Family Practice 5395988141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Express Urgent Care Centers,LLCGroup PAC ID 2860614963, 8 clinicians

Practice addresses (Care Compare)

1400 W Pleasant Valley Rd
Cleveland, OH 44134-6720
Phone (440) 334-7173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.121074OHMDFamily Medicine Physician
390200000XOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Express Behavioral Health Services LLC Current Accepting new patients
Health Express Urgent Care Centers,LLC Family Medicine CurrentSince Sep 12, 2014 Accepting new patients
Health Express Physical Therapy Centers LLC Current Accepting new patients
Health Express Primary Care Past Accepting new patients

Locations

445 Avon Belden Rd
Ste B4
Avon Lake, OH 44012
Phone (440) 367-8817

6848 Pearl Rd
Cleveland, OH 44130

864 W Maple St
Hartville, OH 44632
Phone (330) 877-6613

1400 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 334-7173

20300 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 285-9667

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1962710582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PLEASANT VALLEY ROAD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44134",
            "telephone_number": "440-882-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PLEASANT VALLEY ROAD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44134",
            "telephone_number": "440-882-6595",
            "fax_number": "603-420-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ABDALLAH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.121074",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMHP",
            "identifier": "4",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.