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MALIK S ALI MD
NPI 1124037437
Internal Medicine in Milwaukee, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
5434 W CAPITOL DR, UNIT 3, MILWAUKEE, WI 53216(414) 875-0505 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Malik S Ali Md NPPES

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

MALIK S ALI MD (NPI 1124037437) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (41835) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124037437
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMALIK S ALICredential: MD
Location Address5434 W CAPITOL DR, UNIT 3Milwaukee, WI 53216-2298
Mailing Address5434 W Capitol Dr, Unit 3Milwaukee, WI 53216-2298 · (414) 875-0505
Phone(414) 875-0505
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 5, 2006
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1124037437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 41835
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.
5434 W CAPITOL DR, Milwaukee, WI 53216
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Other Identifiers 4

Medicaid33332000WI
Medicare PIN000204115WI
Medicare PIN000302455WI
Medicare UPINH20795WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.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

Malik S 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 ID840486569
PECOS Enrollment IDI20101119001171
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 Reassignment

Medicare enrollment records show Malik Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Independent Physicians Of Wisconsin, LLC
Same address
Internal Medicine
5434 W CAPITOL DR STE 3
Milwaukee, WI 53216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 52 clinicians in this Medicare group
NPI 1871975920 (414) 875-0505

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
250 services46 patients
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.
64 services28 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
51 services32 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.
46 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53216 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims5,689 services$0.27 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.72 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 12

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

HAYAT PHARMACY 4 LLC
Pharmacy (Community/Retail Pharmacy)
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 817-1111
MARAM QATOUNI
Pharmacist
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 817-1111
DR. SEYDI V AKSUT MD
Internal Medicine (Cardiovascular Disease)
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 442-5400
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 763-9520
MRS. JULIA LYNN BAUER P.T.A
Community Health Worker
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 444-4822
CALLIE JAE CHIROFF ANP-BC
Nurse Practitioner (Adult Health)
5434 W CAPITOL DR, UNIT 3
MILWAUKEE, WI 53216
Milwaukee County (414) 875-0505
TIFFANY SCHWABE NP
Nurse Practitioner (Family)
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 442-5400
MAQSOOD AHMAD M.D
Internal Medicine (Cardiovascular Disease)
5434 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 442-5400

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 Malik Ali's NPI number?

The NPI number for Malik Ali is 1124037437. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Malik Ali located?

Malik Ali practices at 5434 W Capitol Dr Unit 3, Milwaukee, WI 53216. The listed phone number is (414) 875-0505.

What is Malik Ali's specialty?

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

Is Malik Ali enrolled in Medicare?

Yes. Malik 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 organization bills Medicare for Malik Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malik Ali reassigns Medicare benefits to Independent Physicians Of Wisconsin, LLC (Milwaukee, WI). The 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 Malik Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malik Ali accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Malik 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 Malik Ali was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.