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SHEIKH ASIM ALI M.D.
NPI 1285830265
Internal Medicine - Hematology & Oncology in Easton, PA

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1600 RIVERSIDE CIR, EASTON, PA 18045(484) 503-4600(484) 503-4679 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheikh Asim Ali M.d. NPPES

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

SHEIKH ASIM ALI M.D. (NPI 1285830265) is an individual hematology & oncology provider in Easton, Pennsylvania, licensed in Pennsylvania (MD433379) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285830265
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSHEIKH ASIM ALICredential: M.D.
Location Address1600 RIVERSIDE CIREaston, PA 18045-5671
Mailing Address1600 Riverside CirEaston, PA 18045-5671 · (484) 503-4600 · Fax (484) 503-4679
Phone(484) 503-4600
Fax(484) 503-4679
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 22, 2013
✔ NPI 1285830265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in PA · MD433379✔ Licensed in ME · 017457
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1600 RIVERSIDE CIR, Easton, PA 18045
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Other Names 1

Other Name (5)Asim Ali Md

Other Identifiers 2

Medicare PIN123483PA
Medicaid102085322PA

Accepted Insurance

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

Sheikh Asim 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 ID6103918511
PECOS Enrollment IDI20080422000189
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

4

Medicare enrollment records show Sheikh Ali reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group Inc
1.9 mi
Family Medicine
1800 SULLIVAN TRL STE 201
Easton, PA 18040
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1710514617 (610) 250-8799
Lehigh Valley Physician Group
1.9 mi
Family Medicine
412 W MONROE ST
Easton, PA 18042
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1659605103 (610) 330-0464
Family Care Centers Inc.
18 mi
Internal Medicine
206 E BROWN ST
E Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1669563037 (570) 476-3507
Schuylkill Health System Medical Group, Inc.
53 mi
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1063073823 (570) 621-9200

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 7

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
345 services174 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18045 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. DENNIS JOSEPH GIANGIULIO M.D.
Internal Medicine (Hematology & Oncology)
1600 RIVERSIDE CIR
EASTON, PA 18045
Northampton County (484) 503-4500
MELISSA E. SMITH
Physician Assistant
1600 RIVERSIDE CIR
EASTON, PA 18045
Northampton County (484) 503-4600

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 Sheikh Ali's NPI number?

The NPI number for Sheikh Ali is 1285830265. It was assigned to this individual provider in the NPPES registry on June 26, 2007. The provider is also known as Asim Ali MD.

Where is Sheikh Ali located?

Sheikh Ali practices at 1600 Riverside Cir, Easton, PA 18045. The listed phone number is (484) 503-4600.

What is Sheikh Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sheikh Ali enrolled in Medicare?

Yes. Sheikh 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 Sheikh Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheikh Ali reassigns Medicare benefits to 4 organizations: St. Luke's Physician Group Inc (Easton, PA), Lehigh Valley Physician Group (Easton, PA), Family Care Centers Inc. (E Stroudsburg, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). 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 Sheikh Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheikh Ali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sheikh 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 Sheikh Ali affiliated with any hospitals?

According to CMS data, Sheikh Ali is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono, St Luke's Hospital - Monroe Campus and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Sheikh Ali was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.