ALI OMRANIAN M.D.
NPI 1144514217
Internal Medicine - Critical Care Medicine in Houston, TX

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1101 BATES AVE, HOUSTON, TX 77030(832) 355-1000 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2024, Sep 24, 2024, Aug 24, 2021 and 1 more (4 updates tracked since 2016).

About Ali Omranian M.d. NPPES

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

ALI OMRANIAN M.D. (NPI 1144514217) is an individual critical care medicine provider in Houston, Texas, licensed in Texas (Q9701) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144514217
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameALI OMRANIANCredential: M.D.
Location Address1101 BATES AVEHouston, TX 77030-2607
Mailing Address7200 Cambridge Street, Bcm902Houston, TX 77030 · (713) 798-2426
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 6, 2011
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1144514217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in TX · Q9701 Licensed in WA · MD61396191
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License Q9701 (TX)
1101 BATES AVE, Houston, TX 77030

Secondary Practice Locations 3

Location 16651 Main StHouston, TX 77030-2351 · Phone (832) 826-3000
Location 2888 Swift Blvd, ICURichland, WA 99352 · Phone (509) 946-4611
Location 31317 Lake Pointe PkwySugar Land, TX 77478-3997 · Phone (281) 637-7000

Accepted 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

Ali Omranian 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 ID7113211772
PECOS Enrollment IDI20160816001324
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 3

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.

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.
181 services75 patients
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.
42 services26 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
27 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, STE P115
HOUSTON, TX 77030
Pharmacist
1101 BATES AVE
HOUSTON, TX 77030
Nurse Practitioner (Primary Care)
1101 BATES AVE
HOUSTON, TX 77030
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, SUITE P-514
HOUSTON, TX 77030
Physical Therapist
1101 BATES AVE
HOUSTON, TX 77030
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, P115
HOUSTON, TX 77030
Surgery
1101 BATES AVE
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
1101 BATES AVE
HOUSTON, TX 77030

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 Ali Omranian's NPI number?

The NPI number for Ali Omranian is 1144514217. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Ali Omranian located?

Ali Omranian practices at 1101 Bates Ave, Houston, TX 77030. The listed phone number is (832) 355-1000.

What is Ali Omranian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ali Omranian enrolled in Medicare?

Yes. Ali Omranian 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.

What insurance does Ali Omranian accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ali Omranian 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.

Is Ali Omranian affiliated with any hospitals?

According to CMS data, Ali Omranian is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Ali Omranian was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.