Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABDIRAHMAN ALI PA
NPI 1134010804
Physician Assistant - Medical in Lewiston, NY

Active since July 11, 2025PECOS Enrolled
5285 LEWISTON RD, LEWISTON, NY 14092(872) 231-3162(312) 635-0050 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Jul 11, 2025 (2 updates tracked since 2025).

About Abdirahman Ali Pa NPPES

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

ABDIRAHMAN ALI PA (NPI 1134010804) is an individual medical provider in Lewiston, New York, licensed in New York (034075) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134010804
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameABDIRAHMAN ALICredential: PA
Location Address5285 LEWISTON RDLewiston, NY 14092-1942
Mailing AddressPo Box 7411009Chicago, IL 60674-3009 · (872) 231-3162 · Fax (312) 635-0050
Fax(312) 635-0050
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 11, 2025
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1134010804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 034075
5285 LEWISTON RD, Lewiston, NY 14092

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

Abdirahman Ali Pa 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 ID9830686559
PECOS Enrollment IDI20251016000763
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.

Hospital Affiliations CMS Care Compare 2

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

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

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.

Occupational Therapy Assistant
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092

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 Abdirahman Ali's NPI number?

The NPI number for Abdirahman Ali is 1134010804. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Abdirahman Ali located?

Abdirahman Ali practices at 5285 Lewiston Rd, Lewiston, NY 14092. The listed phone number is (872) 231-3162.

What is Abdirahman Ali's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Abdirahman Ali enrolled in Medicare?

Yes. Abdirahman 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 Abdirahman Ali affiliated with any hospitals?

According to CMS data, Abdirahman Ali is affiliated with Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Abdirahman Ali was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.