Individual provider Active NPI

Omar A Ali, MD

  • Interventional Cardiology Physician
  • Winchester, VA
National Provider Identifier
1972527059
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101258918 Issued in VA
Practice address
190 Campus Blvd
Suite 201
Winchester, VA 22601-2872
Phone
(540) 662-0306
Fax
(540) 542-1843
NPI assigned
Jul 26, 2006
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036111040 IL
Interventional Cardiology Physician 207RI0011X 0101258918 VA Primary

Addresses

Primary practice location

190 Campus Blvd
Suite 201
Winchester, VA 22601-2872

Mailing address

136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Phone (540) 678-3588

Other practice location 1

120 Campus Drive
Suite 201
Martinsburg, WV 25404
Phone (304) 264-9485

Other practice location 2

1870 Amherst St Ste 100And
Winchester, VA 22601-2873
Phone (540) 662-0306

Other practice location 3

1870 Amherst St Ste 310
Winchester, VA 22601-2873
Phone (540) 536-6721

Other identifiers 1

IdentifierTypeStateIssuer
P01570443OtherVARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151118002099 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5799750626 Reassigns benefits to 5 organizations
I20160105000996 WV Practitioner - Interventional Cardiology 5799750626 Reassigns benefits to 1 organization
I20201228002456 MI Practitioner - Interventional Cardiology 5799750626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

2431 S M
30 Suite 216
West Branch, MI 48661-9388
Phone (989) 343-1130

2660 W Sugnet Rd
Mymichigan Pulmonology and Critical C
Midland, MI 48640-2647
Phone (989) 488-5450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting52
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025206LAMDPharmacist
0101258918VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Oct 1, 2015 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jun 17, 2019 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Feb 9, 2026 Accepting new patients
Shenandoah Memorial Hospital Inc. Interventional Cardiology CurrentSince Jun 17, 2019 Accepting new patients
Warren Memorial Hospital, Inc. Cardiovascular Disease Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 14, 2020 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Feb 9, 2026 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2018 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Valley Physician Enterprise, Inc. Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 17, 2019 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 1, 2018 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center West Branch Cardiovascular Disease CurrentSince Feb 1, 2022 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
East Mountain Health Physicians, Inc. Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 14, 2020 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Feb 1, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Cardiovascular Disease CurrentSince Oct 1, 2015 Accepting new patients
Mymichigan Medical Center Alpena Cardiovascular Disease CurrentSince May 16, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital of South Bend Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. PastSince Jul 1, 2014 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

815 N Clare Ave
Ste A
Harrison, MI 48625
Phone (989) 539-4434

2660 W Sugnet Rd
#C
Midland, MI 48640
Phone (989) 488-5450

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 100AND
Winchester, VA 22601
Phone (540) 662-0306

1870 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

190 Campus Blvd
Ste 201
Winchester, VA 22601
Phone (540) 536-5980

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

1000 Tavern Rd
Martinsburg, WV 25401
Phone (304) 264-9485

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 201
Martinsburg, WV 25404
Phone (304) 264-9485

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Interoperability endpoints

  • Direct secure messaging: oali109232@mymichiganhealth.midirect.net

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1972527059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD",
            "address_2": "SUITE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-662-0306",
            "fax_number": "540-542-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Campus Drive",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25404",
            "country_code": "US",
            "telephone_number": "304-264-9485",
            "fax_number": "304-264-9987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Amherst St Ste 100And",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012873",
            "country_code": "US",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Amherst St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012873",
            "country_code": "US",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "OMAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036111040",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101258918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01570443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.