KHAMEINEI ALI
NPI 1063876969
Emergency Medicine in Sleepy Hollow, NY

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
701 N BROADWAY, SLEEPY HOLLOW, NY 10591(914) 366-3590 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khameinei Ali NPPES

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

KHAMEINEI ALI (NPI 1063876969) is an individual emergency medicine provider in Sleepy Hollow, New York, licensed in New York (304891) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St John's Riverside Hospital, and is a graduate of George Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1063876969
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKHAMEINEI ALI
Location Address701 N BROADWAYSleepy Hollow, NY 10591-1020
Mailing Address701 N BroadwaySleepy Hollow, NY 10591-1020 · (914) 366-3590
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateJune 4, 2020
NPPES CertifiedJune 4, 2020
NPI 1063876969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 304891
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

701 N BROADWAY, Sleepy Hollow, NY 10591

Other Identifiers 1

Other304891NY · Nys Medical Board

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

Khameinei 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 ID143515536
PECOS Enrollment IDI20200727002592
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 4

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.

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.
363 services349 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.
250 services238 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.
104 services102 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
64 services51 patients

Hospital Affiliations CMS Care Compare 2

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.27
Improvement Activities40

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.

Emergency Medicine
701 N BROADWAY, PHELPS MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
SLEEPY HOLLOW, NY 10591
Internal Medicine
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Physician Assistant
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Specialist
701 N BROADWAY, PHELPS PATHOLOGY
SLEEPY HOLLOW, NY 10591

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 Khameinei Ali's NPI number?

The NPI number for Khameinei Ali is 1063876969. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Khameinei Ali located?

Khameinei Ali practices at 701 N Broadway, Sleepy Hollow, NY 10591. The listed phone number is (914) 366-3590.

What is Khameinei Ali's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Khameinei Ali enrolled in Medicare?

Yes. Khameinei 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.

Is Khameinei Ali affiliated with any hospitals?

According to CMS data, Khameinei Ali is affiliated with St John's Riverside Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Khameinei Ali was last updated on June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.