Individual provider Active NPI

Syed Umer Ali, MD

  • Interventional Cardiology Physician
  • Stockton, CA
National Provider Identifier
1982997342
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A161537 Issued in CA
Practice address
2800 N California St Ste 14a
Stockton, CA 95204-3760
Phone
(209) 942-1005
Fax
(209) 942-0455
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P9290 TX
Internal Medicine Physician 207R00000X 63692 WI
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X A161537 CA Primary

Addresses

Primary practice location

2800 N California St Ste 14a
Stockton, CA 95204-3760

Mailing address

2800 N California St Ste 14a
Stockton, CA 95204-3760
Phone (209) 942-1005

Other identifiers 1

IdentifierTypeStateIssuer
335995201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191030002787 CA Practitioner - Cardiovascular Disease (Cardiology) 7416172507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Joaquin Cardiology Medical Group IncGroup PAC ID 7911916499, 7 clinicians

Practice addresses (Care Compare)

2333 N California St
Fram Buhari MD
Stockton, CA 95204-5530
Phone (209) 464-7681

Hospital & facility affiliations

  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9290TXMDInternal Medicine Physician
63692WIMDInternal Medicine Physician
A161537CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Aug 15, 2019 Accepting new patients
San Joaquin Cardiology Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Enloe Medical Center Interventional Cardiology CurrentSince Aug 15, 2019 Accepting new patients
Enloe Medical Center Current Accepting new patients
Stockton Cardiology Medical Group Complete Heart Care Inc Past Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

900 S Fairmont Ave
Ste C
Lodi, CA 95240
Phone (209) 334-9911

2333 N California St
Stockton, CA 95204
Phone (209) 461-8062

2800 N California St
Ste 3
Stockton, CA 95204
Phone (209) 948-2828

2800 N California St
Ste 14A
Stockton, CA 95204
Phone (209) 464-7681

530 W Eaton Ave
Ste A
Tracy, CA 95376
Phone (209) 565-1070

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adavidson466004@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1982997342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 14A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043760",
            "telephone_number": "209-942-1005",
            "fax_number": "209-942-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 14A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043760",
            "telephone_number": "209-942-1005",
            "fax_number": "209-942-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYED",
        "middle_name": "UMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9290",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "63692",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A161537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335995201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.