FAZAL AKBAR ALI MD
NPI 1003956285
Internal Medicine - Nephrology in Oklahoma City, OK

Q: What is Fazal Ali's NPI number?

The NPI number for Fazal Ali is 1003956285. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Fazal Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Fazal Ali was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment

4221 S WESTERN AVE, SUITE 5020, OKLAHOMA CITY, OK 73109(405) 644-5428(405) 644-5429 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Fazal Akbar Ali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAZAL AKBAR ALI MD (NPI 1003956285) is an individual nephrology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (24129) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003956285

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameFAZAL AKBAR ALICredential: MD

Location Address4221 S WESTERN AVE, SUITE 5020Oklahoma City, OK 73109-3447

Mailing Address4221 S Western Ave Ste 5020Oklahoma City, OK 73109-3445 · (405) 644-5428 · Fax (405) 644-5429

Phone(405) 644-5428

Fax(405) 644-5429

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJanuary 23, 2018

✔ NPI 1003956285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OK · 24129

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4221 S WESTERN AVE, Oklahoma City, OK 73109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fazal Akbar Ali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719037001

PECOS Enrollment IDI20090608000445

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,156 services223 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

910 services419 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

588 services98 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

301 services73 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

285 services216 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

246 services113 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

223 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

104 services96 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

84 services46 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

83 services83 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

74 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

65 services65 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

56 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services35 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norman Regional

Acute Care Hospitals · Norman, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370008

Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370094

Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County

Emergency services

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370106

Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County

Emergency services Birthing friendly

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370234

Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

88%3,182 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

99%991 patients4/55-star benchmark: 100%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

31%35 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers23 claims3,120 services$0.31 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers22 claims3,360 services$0.99 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims360 services$2.50 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers25 claims25 services$18.16 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers41 claims50 services$12.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANE E. TINSLEY, MD, PLLC

Psychiatry & Neurology (Neurology)

4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 644-5160

TODD CLAPP MD

Internal Medicine

4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7650

JOHN BARGHOLS MD

Psychiatry & Neurology (Neurology)

4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 644-5160

MICHAEL MORGAN MD

Family Medicine

4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7650

JOSHUA KERSHEN MD PC

Psychiatry & Neurology (Neurology)

4221 S WESTERN AVE, 5000
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 644-5160

SHIRIN N MOHAMMAD MD

Internal Medicine

4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7650

CHARLES MORGAN MD PC

Psychiatry & Neurology (Neurology)

4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 644-5160

SOUTHWEST REHABILITATION

Clinic/Center (Rehabilitation)

4221 S WESTERN AVE, SUITE 3010
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7452

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fazal Ali's NPI number?

The NPI number for Fazal Ali is 1003956285. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Fazal Ali located?

Fazal Ali practices at 4221 S Western Ave Suite 5020, Oklahoma City, OK 73109. The listed phone number is (405) 644-5428.

What is Fazal Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fazal Ali enrolled in Medicare?

Yes. Fazal Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fazal Ali accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Fazal Ali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fazal Ali affiliated with any hospitals?

According to CMS data, Fazal Ali is affiliated with Norman Regional, Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Midwest, Integris Southwest Medical Center and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Fazal Ali was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.