DR. MIR AKBAR ALI MD
NPI 1053676858
Internal Medicine - Infectious Disease in Corpus Christi, TX

NPI Status: Active since July 08, 2012

Contact Information

925 S PADRE ISLAND DR
CORPUS CHRISTI, TX
ZIP 78416
Phone: (361) 851-6900
Fax: (956) 291-9866

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  • Individual
  • Male
  • Internal Medicine
  • Infectious Disease
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About MIR ALI

This page provides the complete NPI Profile along with additional information for Mir Ali, an internist established in Corpus Christi, Texas with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1053676858 assigned on July 2012. The practitioner's primary taxonomy code is 207RI0200X with license number 0101259856 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1053676858
Provider Name
DR. MIR AKBAR ALI MD
Gender
Male
Entity Type
Individual
Location Address
925 S PADRE ISLAND DR CORPUS CHRISTI, TX 78416
Location Phone
(361) 851-6900
Location Fax
(956) 291-9866
Mailing Address
925 S PADRE ISLAND DR CORPUS CHRISTI, TX 78416
Mailing Phone
(361) 851-6900
Mailing Fax
(956) 291-9866
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2012
Last Update Date
12-12-2024
Code Navigator

An internist like Mir Ali is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
0101259856
License State
VA
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

27208 (NE)
2207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

260942 (MA)
3207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

52994 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mir Ali is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 1,226 times for 223 patients

Follow-up hospital inpatient care per day, typically 35 minutes

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.

This service was performed 449 times for 161 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 34 times for 34 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 55 times for 53 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 11 times for 11 patients

Initial hospital inpatient care per day, typically 50 minutes

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.

This service was performed 223 times for 209 patients

Initial hospital inpatient care per day, typically 70 minutes

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.

This service was performed 81 times for 79 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 78416 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 0% 398

Reviews for DR. MIR AKBAR ALI MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053676858, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 1 + 2 + 8 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1053676858.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Social Worker
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse (Ambulatory Care)
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse (Administrator)
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse (Case Management)
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Licensed Practical Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Licensed Vocational Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse (Ambulatory Care)
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Licensed Vocational Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Licensed Vocational Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse (Case Management)
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416
Registered Nurse
925 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053676858, enumerated as an "individual" on July 08, 2012.

The provider is located at 925 S PADRE ISLAND DR CORPUS CHRISTI, TX 78416 and the phone number is (361) 851-6900.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.