TABASSUM ALI MD
NPI 1225267362
Ophthalmology in Wilmington, DE

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
3501 SILVERSIDE RD, WILMINGTON, DE 19810(302) 479-3937 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tabassum Ali Md NPPES

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

TABASSUM ALI MD (NPI 1225267362) is an individual ophthalmology provider in Wilmington, Delaware, licensed in Delaware (C10011437) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2009).

NPPES Registry Identity

NPI1225267362
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameTABASSUM ALICredential: MD
Location Address3501 SILVERSIDE RDWilmington, DE 19810-4910
Mailing Address3501 Silverside RdWilmington, DE 19810-4910 · (302) 479-3937
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateOctober 13, 2015
✔ NPI 1225267362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in DE · C10011437
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3501 SILVERSIDE RD, Wilmington, DE 19810

Accepted 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

Tabassum 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 ID4688818891
PECOS Enrollment IDI20151105001132
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 Reassignments

2

Medicare enrollment records show Tabassum Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
3509 SILVERSIDE RD
Wilmington, DE 19810
  • Reassigned Medicare billing, Delaware enrollment
  • 17 clinicians in this Medicare group
Family Medicine
1401 FOULK RD, SUITE 100B
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group

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 9

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
672 services636 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
471 services330 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
199 services82 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
137 services130 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
120 services67 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
110 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19810 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 6

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

Ophthalmology
3501 SILVERSIDE RD
WILMINGTON, DE 19810
Optometrist
3501 SILVERSIDE RD, NAAMANS BUILDING
WILMINGTON, DE 19810
Optometrist
3501 SILVERSIDE RD, NAAMANS BLDG.
WILMINGTON, DE 19810
Ophthalmology
3501 SILVERSIDE RD
WILMINGTON, DE 19810
Ophthalmology
3501 SILVERSIDE RD, NAAMANS BLDG.
WILMINGTON, DE 19810
Ophthalmology
3501 SILVERSIDE RD
WILMINGTON, DE 19810

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 Tabassum Ali's NPI number?

The NPI number for Tabassum Ali is 1225267362. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Tabassum Ali located?

Tabassum Ali practices at 3501 Silverside Rd, Wilmington, DE 19810. The listed phone number is (302) 479-3937.

What is Tabassum Ali's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tabassum Ali enrolled in Medicare?

Yes. Tabassum 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 organizations bill Medicare for Tabassum Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabassum Ali reassigns Medicare benefits to 2 organizations: Delaware Ophthalmology Consultants PA (Wilmington, DE) and Christiana Care Health Services, Inc (Wilmington, DE). Each 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 Tabassum Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabassum Ali accept?

Health plans from AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Tabassum 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.

When was this NPI record last updated?

The NPPES record for Tabassum Ali was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.