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HUMAIRA ALI M.D.
NPI 1265438188
Family Medicine in Boca Raton, FL

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
11.35/100
CMS Quality Rating
21644 STATE ROAD 7, BOCA RATON, FL 33428(561) 866-7828 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Humaira Ali M.d. NPPES

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

HUMAIRA ALI M.D. (NPI 1265438188) is an individual family medicine provider in Boca Raton, Florida, licensed in Florida (ME89011) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and maintains a secondary practice location in Coral Springs.

NPPES Registry Identity

NPI1265438188
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHUMAIRA ALICredential: M.D.
Location Address21644 STATE ROAD 7Boca Raton, FL 33428-1842
Mailing Address10571 Bexley BlvdBoca Raton, FL 33428-1210 · (561) 866-7828
Phone(561) 866-7828
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 24, 2005
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1265438188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME89011
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21644 STATE ROAD 7, Boca Raton, FL 33428
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Secondary Practice Location 1

Location 15401 N University Dr, Suite 102Coral Springs, FL 33067-4636 · Phone (561) 926-3155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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

Humaira Ali M.d. 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 ID7315837630
PECOS Enrollment IDI20040318001256
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
517 services215 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
280 services247 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
196 services170 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services100 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33428 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

11.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost37.84

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$20.71 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$4.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers17 claims21 services$9.38 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims370 services$5.09 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
2 suppliers12 claims13 services$58.34 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers16 claims16 services$46.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GREATER FLORIDA EMERGENCY GROUP, LLC
Emergency Medicine
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (561) 488-8000
VARKEY ABRAHAM PA
Physician Assistant
21644 STATE ROAD 7, EMERGENCY DEPARTMENT
BOCA RATON, FL 33428
Palm Beach County (561) 488-8000
DR. DEBORAH M LIEBERMAN DO
Emergency Medicine
21644 STATE ROAD 7, EMERGENCY DEPARTMENT
BOCA RATON, FL 33428
Palm Beach County (561) 488-8000
SUNFLOWER CARE CENTER
Internal Medicine
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (561) 488-8000
STERLING HOSPITALISTS OF FLORIDA PA
Internal Medicine
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (561) 488-8000
PALM BEACH PATHOLOGY PA
Pathology (Anatomic Pathology & Clinical Pathology)
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (561) 488-8172
BRITTANY LAYNE LARA APRN, FNP-BC
Nurse Practitioner (Family)
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (561) 488-8200
ALLEN MACHADO NUNEZ MD
General Practice
21644 STATE ROAD 7
BOCA RATON, FL 33428
Palm Beach County (713) 505-4821

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 Humaira Ali's NPI number?

The NPI number for Humaira Ali is 1265438188. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Humaira Ali located?

Humaira Ali practices at 21644 State Road 7, Boca Raton, FL 33428. The listed phone number is (561) 866-7828.

What is Humaira Ali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Humaira Ali enrolled in Medicare?

Yes. Humaira 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.

What insurance does Humaira Ali accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Humaira 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 Humaira Ali affiliated with any hospitals?

According to CMS data, Humaira Ali is affiliated with Boca Raton Regional Hospital, Delray Medical Center and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Humaira Ali was last updated on July 19, 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.