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MIR BAQUAR ALI MD
NPI 1184689663
Specialist in Fountain Valley, CA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
18111 BROOKHURST STREET, SUITE 5600, FOUNTAIN VALLEY, CA 92708(714) 861-4666(714) 861-4682 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mir Baquar Ali Md NPPES

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

MIR BAQUAR ALI MD (NPI 1184689663) is an individual specialist in Fountain Valley, California, licensed in California (G72359) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1990).

NPPES Registry Identity

NPI1184689663
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMIR BAQUAR ALICredential: MD
Location Address18111 BROOKHURST STREET, SUITE 5600Fountain Valley, CA 92708-6728
Mailing Address18111 Brookhurst Street, Suite 5600Fountain Valley, CA 92708-6728 · (714) 861-4666 · Fax (714) 861-4682
Phone(714) 861-4666
Fax(714) 861-4682
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1990
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 19, 2011
✔ NPI 1184689663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G72359
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18111 BROOKHURST STREET, Fountain Valley, CA 92708
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Other Identifiers 3

Medicaid00G723590CA
Medicare UPINH27754CA
Medicare ID-Type UnspecifiedWG72359ACA · Medicare Ppin

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

Mir Baquar 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 ID4486718376
PECOS Enrollment IDI20120418000489
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 Mir Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Leport Surgical Medical Corporation
Same address
Specialist
18111 BROOKHURST ST, SUITE 5600
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1194940015 (714) 861-4666

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services15 patients

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.

ASHLEY JUNEPAULINE SALAZAR P.A.-C
Physician Assistant (Surgical)
18111 BROOKHURST STREET, SUITE 5600
FOUNTAIN VALLEY, CA 92708
Orange County (714) 861-4666
MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC
Clinic/Center (Ambulatory Surgical)
18111 BROOKHURST STREET, 3200 SUITE
FOUNTAIN VALLEY, CA 92708
Orange County (951) 378-3738
MICHAEL H. SIMONS D.P.M. A PROFESSIONAL CORPORATION
Podiatrist (Foot & Ankle Surgery)
18111 BROOKHURST STREET, SUITE 3400
FOUNTAIN VALLEY, CA 92708
Orange County (714) 861-4630

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 Mir Ali's NPI number?

The NPI number for Mir Ali is 1184689663. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Mir Ali located?

Mir Ali practices at 18111 Brookhurst Street Suite 5600, Fountain Valley, CA 92708. The listed phone number is (714) 861-4666.

What is Mir Ali's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mir Ali enrolled in Medicare?

Yes. Mir 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 Mir Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mir Ali reassigns Medicare benefits to Leport Surgical Medical Corporation (Fountain Valley, 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 Mir 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 Mir Ali was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.