EMAD ALI MD
NPI 1104251453
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lubbock, TX

Q: What is Emad Ali's NPI number?

The NPI number for Emad Ali is 1104251453. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Q: What is Emad Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Emad Ali was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2013PECOS EnrolledAccepts Medicare Assignment

4515 MARSHA SHARP FWY, LUBBOCK, TX 79407(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2022, Aug 15, 2022, Jul 2, 2018 (3 updates tracked since 2018).

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About Emad Ali Md NPPES

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

EMAD ALI MD (NPI 1104251453) is an individual endocrinology, diabetes & metabolism provider in Lubbock, Texas, licensed in Texas (Q7127) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Nor-lea Hospital District, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1104251453

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameEMAD ALICredential: MD

Location Address4515 MARSHA SHARP FWYLubbock, TX 79407-2520

Mailing Address4515 Marsha Sharp FwyLubbock, TX 79407-2520 · (806) 744-7223 · Fax (806) 740-3325

Phone(806) 744-7223

Fax(806) 740-3325

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 5, 2013

Last NPPES UpdateNovember 7, 20223 updates tracked since enumeration

NPPES CertifiedNovember 7, 2022

✔ NPI 1104251453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · Q7127

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License Q7127 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License Q7127 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4515 MARSHA SHARP FWY, Lubbock, TX 79407

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Secondary Practice Location 1

Location 13601 4th St, MS 9410Lubbock, TX 79430 · Phone (806) 743-3150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Emad Ali Md 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 ID6305135914

PECOS Enrollment IDI20161018002305

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

428 services220 patients

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.

245 services94 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

159 services69 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.

125 services125 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.

52 services47 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.

42 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM

OwnershipGovernment - Hospital District or Authority

CMS Certification Number321305

Location1600 North Main AveLovington, NM 88260 · Lea County

Emergency services

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450162

Location2412 50th StLubbock, TX 79412 · Lubbock County

Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450686

Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County

Emergency services Birthing friendly

Covenant Childrens Hospital

Childrens · Lubbock, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453306

Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79407 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers11 claims11 services$183.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SIXTUS ATABONG PA

Physician Assistant (Surgical)