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NADEEM S ALI M.D.
NPI 1053351528
Internal Medicine in Biddeford, ME

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
30 WEST COLE ROAD, BIDDEFORD, ME 04005(207) 282-3349(207) 282-6099 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nadeem S Ali M.d. NPPES

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

NADEEM S ALI M.D. (NPI 1053351528) is an individual internal medicine provider in Biddeford, Maine, licensed in Maine (016399) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053351528
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNADEEM S ALICredential: M.D.
Location Address30 WEST COLE ROADBiddeford, ME 04005
Mailing Address1 Medical Center Dr, P.o. Box 626Biddeford, ME 04005-9422 · (207) 282-9080 · Fax (207) 282-6099
Phone(207) 282-3349
Fax(207) 282-6099
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1053351528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · 016399
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 WEST COLE ROAD, Biddeford, ME 04005
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Other Identifiers 5

Medicaid1053351528ME
Medicare UPINI13191ME
Medicare ID-Type UnspecifiedME0837ME
Medicaid406390099ME
Medicare PINME083701ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Nadeem S Ali M.d. 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 ID3870568686
PECOS Enrollment IDI20040826000435, I20250327000086
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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
39 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 2

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

SALLY CARPENTER N.P.
Nurse Practitioner (Adult Health)
30 WEST COLE ROAD
BIDDEFORD, ME 04005
York County (207) 282-3349
MS. BARBARA ANN LOGAN NP
Nurse Practitioner
30 WEST COLE ROAD
BIDDEFORD, ME 04005
York County (207) 282-3349

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 Nadeem Ali's NPI number?

The NPI number for Nadeem Ali is 1053351528. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Nadeem Ali located?

Nadeem Ali practices at 30 West Cole Road, Biddeford, ME 04005. The listed phone number is (207) 282-3349.

What is Nadeem Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadeem Ali enrolled in Medicare?

Yes. Nadeem 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 Nadeem Ali accept?

Health plans from WellSense Health Plan list Nadeem 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 Nadeem Ali affiliated with any hospitals?

According to CMS data, Nadeem Ali is affiliated with Mary Hitchcock Memorial Hospital and Valley Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nadeem Ali was last updated on September 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.