DR. ABUBAKER AHMED ALI M.D.
NPI 1063640068
Surgery in Palm Coast, FL

Q: What is Abubaker Ali's NPI number?

The NPI number for Abubaker Ali is 1063640068. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Abubaker Ali's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Abubaker Ali was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 29, 2009PECOS EnrolledAccepts Medicare Assignment

80.59/100

CMS Quality Rating

61 MEMORIAL MEDICAL PKWY STE 1-800A, PALM COAST, FL 32164(386) 302-1366 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Abubaker Ahmed Ali M.d. NPPES

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

DR. ABUBAKER AHMED ALI M.D. (NPI 1063640068) is an individual surgery provider in Palm Coast, Florida, licensed in Florida (ME167068) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1063640068

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ABUBAKER AHMED ALICredential: M.D.

Location Address61 MEMORIAL MEDICAL PKWY STE 1-800APalm Coast, FL 32164-5983

Mailing AddressPo Box 946383Atlanta, GA 30394-6383

Phone(386) 302-1366

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJune 29, 2009

Last NPPES UpdateAugust 9, 2024

NPPES CertifiedAugust 9, 2024

✔ NPI 1063640068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in FL · ME167068✔ Licensed in MI · 4301094760

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

61 MEMORIAL MEDICAL PKWY STE 1-800A, Palm Coast, FL 32164

Open in Google Maps ↗

Secondary Practice Location 1

Location 113051 Osborne St, APT 608Dearborn, MI 48126-4037 · Phone (313) 878-7575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Dr. Abubaker Ahmed 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 ID3678887676

PECOS Enrollment IDI20150804006242

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

Medicare enrollment records show Abubaker Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Healthcare Partners, Inc

17 mi

Internal Medicine

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
733 clinicians in this Medicare group

NPI 1780100529 (386) 231-6000

United Trauma Care Plc

899 mi

Trauma Surgery

6071 W OUTER DR
Detroit, MI 48235

Reassigned Medicare billing, Michigan enrollment
9 clinicians in this Medicare group

NPI 1982146866 (313) 966-3300

Vhs Physicians Of Michigan

906 mi

Internal Medicine

29201 TELEGRAPH RD STE 404N
Southfield, MI 48034

Reassigned Medicare billing, Michigan enrollment
407 clinicians in this Medicare group

NPI 1073827101 (248) 450-3507

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

Areas of Expertise CMS Part B claims 6

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.

67 services29 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.

28 services26 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.

23 services22 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.

18 services15 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.

13 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100363

Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

80.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.55

Promoting Interoperability

100

Improvement Activities

Cost

52.03

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

69%49 patients3/55-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.

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.

TINA R ELLISON PA-C

Physician Assistant

61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 32164

Flagler County (386) 302-1365

STEPHANIE SCHAGRIN APRN

Nurse Practitioner (Family)

61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 32164

Flagler County (386) 302-1365

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 Abubaker Ali's NPI number?

The NPI number for Abubaker Ali is 1063640068. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Abubaker Ali located?

Abubaker Ali practices at 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164. The listed phone number is (386) 302-1366.

What is Abubaker Ali's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Abubaker Ali enrolled in Medicare?

Yes. Abubaker 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 Abubaker Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abubaker Ali reassigns Medicare benefits to 3 organizations: Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL), United Trauma Care Plc (Detroit, MI) and Vhs Physicians Of Michigan (Southfield, MI). 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 Abubaker Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abubaker Ali accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 4 other insurers list Abubaker 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 Abubaker Ali affiliated with any hospitals?

According to CMS data, Abubaker Ali is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Abubaker Ali was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.