Individual provider Active NPI

Walid Mohammed Ali

  • Home Modifications Contractor
  • Dublin, OH
National Provider Identifier
1982058020
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
G02501 Issued in OH
Practice address
6030 Abbey Chapel Dr
Dublin, OH 43017-3517
Phone
(614) 424-1496
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X HIC-L00299 OH
Home Modifications Contractor 171WH0202X G02501 OH Primary

Addresses

Primary practice location

6030 Abbey Chapel Dr
Dublin, OH 43017-3517

Mailing address

6030 Abbey Chapel Dr
Dublin, OH 43017-3517
Phone (614) 424-1496

Other identifiers 1

IdentifierTypeStateIssuer
0158376MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G02501OHMDHome Modifications Contractor
HIC-L00299OHMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Across the States Construction & Remodeling LLC. Home Modifications Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1982058020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 ABBEY CHAPEL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173517",
            "telephone_number": "614-424-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 ABBEY CHAPEL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173517",
            "telephone_number": "614-424-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "WALID",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "OH",
            "license": "HIC-L00299",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "OH",
            "license": "G02501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.