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

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
2511 M AVE STE G, ANACORTES, WA 98221(360) 299-4297(360) 299-4294 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2022, Sep 7, 2021, Aug 7, 2020 and 2 more (5 updates tracked since 2018).

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 Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Shad Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital District No 2 Skagit County Washington
0.4 mi
General Acute Care Hospital
1211 24TH ST
Anacortes, WA 98221
  • Reassigned Medicare billing, Washington enrollment
  • 136 clinicians in this Medicare group
NPI 1164447850 (360) 299-1350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
SUSAN L EDWARDS MSW, LICSW
Social Worker (Clinical)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
LAURA MARIE CARDINAL LICSW
Social Worker (Clinical)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
HENRY CONYERS RN
Registered Nurse
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
PAUL STEPHEN HAMMER MD
Psychiatry & Neurology (Psychiatry)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
AMY MICHELLE MCINTYRE LICSW
Social Worker (Clinical)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297
DR. CHRISTOPHER THOMAS DIPESA DO
Psychiatry & Neurology (Psychiatry)
2511 M AVE STE G
ANACORTES, WA 98221
Skagit County (360) 299-4297

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 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.

Where is Shad Ali located?

Shad Ali practices at 2511 M Ave Ste G, Anacortes, WA 98221. The listed phone number is (360) 299-4297.

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.

Is Shad Ali enrolled in Medicare?

Yes. Shad 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 Shad Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shad Ali reassigns Medicare benefits to Public Hospital District No 2 Skagit County Washington (Anacortes, WA). 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 Shad Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shad Ali accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Shad Ali 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 Shad Ali affiliated with any hospitals?

According to CMS data, Shad Ali is affiliated with Island Hospital.

When was this NPI record last updated?

The NPPES record for Shad Ali was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.