SHAD SYED ALI MD - NPI 1184043010 - Psychiatry & Neurology in Anacortes, WA

Q: What is Shad Ali's NPI number?

The NPI number for Shad Ali is 1184043010. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Q: What is Shad Ali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Shad Ali was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shad Syed Ali Md NPPES

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

SHAD SYED ALI MD (NPI 1184043010) is an individual child & adolescent psychiatry provider in Anacortes, Washington, licensed in Washington (MD61070547) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Island Hospital, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1184043010

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameSHAD SYED ALICredential: MD

Location Address2511 M AVE STE GAnacortes, WA 98221-3897

Mailing Address1211 24th StAnacortes, WA 98221-2562 · (360) 299-1300

Phone(360) 299-4297

Fax(360) 299-4294

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2014

Enumeration DateApril 8, 2014

Last NPPES UpdateSeptember 1, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1184043010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in WA · MD61070547✔ Licensed in CO · DR.0058735✔ Licensed in MA · 280916

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2511 M AVE STE G, Anacortes, WA 98221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Shad Syed 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 ID5395036602

PECOS Enrollment IDI20200817003404

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

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

Island Hospital

Acute Care Hospitals · Anacortes, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500007

Location1211 24th StreetAnacortes, WA 98221 · Skagit County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

DR. JACYNDA LOUISE WHEELER D.O.

Psychiatry & Neurology (Psychiatry)