1. Home
  2. Directory
  3. Arizona
  4. Chandler
  5. Internal Medicine
  6. NPI Profile

DR. ESSAM ALI M.D.
NPI 1083948400
Internal Medicine in Chandler, AZ

Active since October 01, 2009PECOS EnrolledAccepts Medicare Assignment
6161 W POST RD, CHANDLER, AZ 85226(602) 920-2240(480) 207-1627 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2023, Apr 26, 2022, Feb 23, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Essam Ali M.d. NPPES

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

DR. ESSAM ALI M.D. (NPI 1083948400) is an individual internal medicine provider in Chandler, Arizona, licensed in Arizona (42928) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1083948400
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ESSAM ALICredential: M.D.
Location Address6161 W POST RDChandler, AZ 85226-1175
Mailing Address6161 W Post RdChandler, AZ 85226-1175 · (602) 920-2240 · Fax (480) 207-1627
Phone(602) 920-2240
Fax(480) 207-1627
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 1, 2009
Last NPPES UpdateMay 17, 20234 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1083948400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 42928
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.
6161 W POST RD, Chandler, AZ 85226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc 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. Essam 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 ID5092830455
PECOS Enrollment IDI20100909000355
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

3

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

4C Medical Group Plc
18 mi
Multi-Specialty
9590 E IRONWOOD SQUARE DR STE 125
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 118 clinicians in this Medicare group
NPI 1558654384 (480) 455-3000
Dvma, LLC
27 mi
Internal Medicine
13350 N 94TH DR, SUITE A101
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 97 clinicians in this Medicare group
NPI 1194893800 (623) 974-1500
Cogent Healthcare Of Arizona PC
158 mi
Internal Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 372 clinicians in this Medicare group
NPI 1568758266 (520) 417-4594

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 5

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 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.
68 services33 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.
36 services35 patients
Hospital discharge day management, more than 30 minutes 99239
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.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
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.
18 services18 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85226 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Essam Ali's NPI number?

The NPI number for Essam Ali is 1083948400. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Essam Ali located?

Essam Ali practices at 6161 W Post Rd, Chandler, AZ 85226. The listed phone number is (602) 920-2240.

What is Essam Ali's specialty?

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

Is Essam Ali enrolled in Medicare?

Yes. Essam 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 Essam Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Essam Ali reassigns Medicare benefits to 3 organizations: 4C Medical Group Plc (Scottsdale, AZ), Dvma, LLC (Peoria, AZ) and Cogent Healthcare Of Arizona PC (Sierra Vista, AZ). 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 Essam Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Essam Ali accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health and 1 other insurer list Essam 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.

When was this NPI record last updated?

The NPPES record for Essam Ali was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.