1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Surgery
  6. NPI Profile

DR. MOHAMED REDA ALI JR. MD
NPI 1174504443
Surgery in Sacramento, CA

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD, DEPARTMENT OF SURGERY, SACRAMENTO, CA 95817(916) 734-4596(916) 734-3951 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mohamed Reda Ali Jr. Md NPPES

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

DR. MOHAMED REDA ALI JR. MD (NPI 1174504443) is an individual surgery provider in Sacramento, California, licensed in California (A80020) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1995).

NPPES Registry Identity

NPI1174504443
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MOHAMED REDA ALI JR.Credential: MD
Location Address2315 STOCKTON BLVD, DEPARTMENT OF SURGERYSacramento, CA 95817-2201
Mailing Address2315 Stockton Blvd, Department Of SurgerySacramento, CA 95817-2201 · (916) 734-4596 · Fax (916) 734-3951
Phone(916) 734-4596
Fax(916) 734-3951
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1995
Enumeration DateNovember 14, 2005
Last NPPES UpdateNovember 1, 2007
✔ NPI 1174504443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A80020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2315 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Other Identifiers 3

Other08642CA · Pi#
Medicare UPINH54721CA
Medicare PIN00A800200

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. Mohamed Reda Ali Jr. 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 ID4284816166
PECOS Enrollment IDI20110314000927
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 Mohamed Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Ca
Same address
Emergency Medicine
2315 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The Univ Of Ca
  • 2,570 clinicians in this Medicare group
NPI 1063405074 (916) 734-2363

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 4

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.

Study of esophagus to assess movement 91010
This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.
35 services35 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.
34 services34 patients
Prolonged monitoring and recording of esophageal function through nasal tube with electrode 91038
This procedure involves the insertion of a thin, flexible tube through the nose into the esophagus. An electrode on the tube records esophageal activity over an extended period, helping to identify any functional issues.
25 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 20

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

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Mohamed Ali's NPI number?

The NPI number for Mohamed Ali is 1174504443. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Mohamed Ali located?

Mohamed Ali practices at 2315 Stockton Blvd Department Of Surgery, Sacramento, CA 95817. The listed phone number is (916) 734-4596.

What is Mohamed Ali's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mohamed Ali enrolled in Medicare?

Yes. Mohamed 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 Mohamed Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Ali reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, CA). 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 Mohamed Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mohamed Ali was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.