DR. ALI FADHIL M.D.
NPI 1144684374
Psychiatry & Neurology - Neurology in Pittsburgh, PA

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
1350 LOCUST ST STE 311, PITTSBURGH, PA 15219(412) 647-2304 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2022, Jul 23, 2022, Aug 4, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Ali Fadhil M.d. NPPES

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

DR. ALI FADHIL M.D. (NPI 1144684374) is an individual neurology provider in Pittsburgh, Pennsylvania, licensed in Texas (V9596) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144684374
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ALI FADHILCredential: M.D.
Location Address1350 LOCUST ST STE 311Pittsburgh, PA 15219-4738
Mailing Address1350 Locust St Ste 311Pittsburgh, PA 15219-4738 · (412) 647-2304
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 13, 2016
Last NPPES UpdateOctober 23, 20256 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1144684374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TX · V9596✔ Licensed in PA · MD477635
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 268810 (MA)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License V9596 (TX)
1350 LOCUST ST STE 311, Pittsburgh, PA 15219

Secondary Practice Locations 3

Location 13535 Olentangy River Rd Ste S1501Columbus, OH 43214-3908 · Phone (614) 535-5500 · Fax (614) 533-0103
Location 218101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000
Location 311100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 350-3007

Accepted 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. Ali Fadhil 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 ID2668767328
PECOS Enrollment IDI20250714003008
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

8

Medicare enrollment records show Ali Fadhil reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
339 6TH AVE, 5TH FLOOR
Pittsburgh, PA 15222
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Dental
1459 SUPERIOR AVE NE
Canton, OH 44705
  • Reassigned Medicare billing, Ohio enrollment
  • 235 clinicians in this Medicare group
Neurology
765 LIBERTY ST STE 303
Meadville, PA 16335
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group

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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
1350 LOCUST ST STE 311
PITTSBURGH, PA 15219
Psychiatry & Neurology (Vascular Neurology)
1350 LOCUST ST STE 311
PITTSBURGH, PA 15219
Psychiatry & Neurology (Vascular Neurology)
1350 LOCUST ST STE 311
PITTSBURGH, PA 15219

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 Fadhil's NPI number?

The NPI number for Ali Fadhil is 1144684374. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Ali Fadhil located?

Ali Fadhil practices at 1350 Locust St Ste 311, Pittsburgh, PA 15219. The listed phone number is (412) 647-2304.

What is Ali Fadhil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ali Fadhil enrolled in Medicare?

Yes. Ali Fadhil 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 Ali Fadhil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Fadhil reassigns Medicare benefits to 8 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Cleveland Clinic Mercy Hospital (Canton, OH), Meadville Medical Center (Meadville, PA), University Hospitals Medical Group Inc (Cleveland, OH), Pinnacle Health Medical Services (Chambersburg, PA) and 3 more organizations, listed in the Medicare section above. 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 Ali Fadhil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Fadhil accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Health First Commercial Plans, Inc., MedMutual and Oscar Health Maintenance Organization of Florida and 2 other insurers list Ali Fadhil 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 Fadhil affiliated with any hospitals?

According to CMS data, Ali Fadhil is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Ali Fadhil was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.