1. Home
  2. Directory
  3. Ohio
  4. Waverly
  5. Pediatrics
  6. NPI Profile

MOHAMMAD T. ALI M.D.
NPI 1265406151
Pediatrics in Waverly, OH

Active since February 15, 2006PECOS Enrolled
227 VALLEY VIEW DR, WAVERLY, OH 45690(740) 947-7726(740) 947-9354 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mohammad T. Ali M.d. NPPES

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

MOHAMMAD T. ALI M.D. (NPI 1265406151) is an individual pediatrics provider in Waverly, Ohio, licensed in Ohio (35-076438) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waverly.

NPPES Registry Identity

NPI1265406151
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMOHAMMAD T. ALICredential: M.D.
Location Address227 VALLEY VIEW DRWaverly, OH 45690-9135
Mailing Address227 Valley View DrWaverly, OH 45690-9135 · (740) 947-7726 · Fax (740) 947-9354
Phone(740) 947-7726
Fax(740) 947-9354
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1265406151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-076438
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
227 VALLEY VIEW DR, Waverly, OH 45690
Open in Google Maps ↗

Secondary Practice Location 1

Location 1227 Valleyview DrWaverly, OH 45690 · Phone (740) 947-7726 · Fax (740) 947-9354

Other Identifiers 1

Medicaid2119317OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad T. Ali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Community Action Committee Of Pike County
Same address
Primary Care
227 VALLEYVIEW DR, FAMILY HEALTH CENTER - WAVERLY
Waverly, OH 45690
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1760659171 (740) 947-7726
Teladoc Health Medical Group, P.A.
887 mi
Family Medicine
1945 LAKEPOINTE DR, SUITE 100
Lewisville, TX 75057
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Teladoc Health Medical Group PA
NPI 1245403567 (855) 224-7315

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 18

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

KIMBERLY A RIFFLE CDCA
Counselor (Addiction (Substance Use Disorder))
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
MRS. DONA HAUNANI SANDERS CNM
Advanced Practice Midwife
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
REBECCA E HALL LISW
Social Worker (Clinical)
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Home Health
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Mental Health (Including Community Mental Health Center))
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
REBECCA BREWSTER CNP
Nurse Practitioner (Psychiatric/Mental Health)
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
BAILEY KATHLEEN CAUGHLAN APRN
Nurse Practitioner
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726
ANDREA NICOLE BROWN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
227 VALLEY VIEW DR
WAVERLY, OH 45690
Pike County (740) 947-7726

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 Mohammad Ali's NPI number?

The NPI number for Mohammad Ali is 1265406151. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Mohammad Ali located?

Mohammad Ali practices at 227 Valley View Dr, Waverly, OH 45690. The listed phone number is (740) 947-7726.

What is Mohammad Ali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mohammad Ali enrolled in Medicare?

Yes. Mohammad Ali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohammad Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Ali reassigns Medicare benefits to 2 organizations: Community Action Committee Of Pike County (Waverly, OH) and Teladoc Health Medical Group, P.A. (Lewisville, TX). 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 Mohammad Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Ali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mohammad 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 Mohammad Ali was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.