MARIAM ALI PA-C
NPI 1205721560
Physician Assistant - Surgical in Poughkeepsie, NY
About Mariam Ali Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM ALI PA-C (NPI 1205721560) is an individual surgical provider in Poughkeepsie, New York, licensed in New York (034103) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Mariam Ali Pa-c 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.
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.
POUGHKEEPSIE, NY 12601
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 Mariam Ali's NPI number?
The NPI number for Mariam Ali is 1205721560. It was assigned to this individual provider in the NPPES registry on June 9, 2025.
Where is Mariam Ali located?
Mariam Ali practices at 241 North Rd, Poughkeepsie, NY 12601. The listed phone number is (845) 483-5000.
What is Mariam Ali's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mariam Ali enrolled in Medicare?
Yes. Mariam 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.
When was this NPI record last updated?
The NPPES record for Mariam Ali was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mariam Ali, PA-C · NPI 1205721560
Surgical physician in Poughkeepsie, New York. Individual provider, active in the CMS NPPES registry since June 9, 2025.
## Identity
- **NPI:** 1205721560 (Entity type: Individual)
- **Enumerated:** June 9, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 034103 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 241 NORTH RD, Poughkeepsie, NY 12601-1154
- **Phone:** (845) 483-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1205721560) · Data from the CMS NPPES public registry.