TAMICA LATOYA ALI
NPI 1063240208
Nurse Practitioner - Family in Syracuse, NY

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5881 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Feb 8, 2025, Jan 7, 2025 and 1 more (4 updates tracked since 2024).

About Tamica Latoya Ali NPPES

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

TAMICA LATOYA ALI (NPI 1063240208) is an individual family provider in Syracuse, New York, licensed in New York (F355466) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1063240208
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMICA LATOYA ALI
Location Address301 PROSPECT AVESyracuse, NY 13203-1807
Mailing Address301 Prospect AveSyracuse, NY 13203-1807 · (315) 448-5881
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1063240208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F355466
301 PROSPECT AVE, Syracuse, NY 13203

Secondary Practice Location 1

Location 1819 S Salina StSyracuse, NY 13202-3570 · Phone (315) 476-7921 ext. 2753

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamica Latoya Ali 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 ID143740225
PECOS Enrollment IDI20250219002100
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tamica Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
930 S SALINA ST
Syracuse, NY 13202
  • Reassigned Medicare billing, New York enrollment
  • 87 clinicians in this Medicare group
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Family Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Tamica Ali's NPI number?

The NPI number for Tamica Ali is 1063240208. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Tamica Ali located?

Tamica Ali practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5881.

What is Tamica Ali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tamica Ali enrolled in Medicare?

Yes. Tamica 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.

Which organizations bill Medicare for Tamica Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamica Ali reassigns Medicare benefits to 2 organizations: Syracuse Community Health Center (Syracuse, NY) and St Josephs Medical PC (Liverpool, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamica Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tamica Ali affiliated with any hospitals?

According to CMS data, Tamica Ali is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Tamica Ali was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.