ZARINA SULTANA ALI MD
NPI 1295900942
Neurological Surgery in Philadelphia, PA

Active since April 24, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3487(215) 349-5534 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zarina Sultana Ali Md NPPES

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

ZARINA SULTANA ALI MD (NPI 1295900942) is an individual neurological surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD446843) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1295900942
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameZARINA SULTANA ALICredential: MD
Location Address3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILIONPhiladelphia, PA 19104-4238
Mailing Address3737 Market St., 8th Fl, NeurosurgeryPhiladelphia, PA 19104-5545 · (215) 662-3487 · Fax (215) 349-5534
Fax(215) 349-5534
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2009
Enumeration DateApril 24, 2008
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1295900942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in PA · MD446843
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 13400 Spruce Street HUP - Dept of Neurosurgery,, 3 SilversteinPhiladelphia, PA 19104 · Phone (215) 349-8325

Accepted 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

Zarina Sultana 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 ID1850681297
PECOS Enrollment IDI20160526000734, I20200108000071
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 19

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
76 services28 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.
68 services60 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.
61 services61 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.
58 services58 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.
50 services43 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Zarina Ali's NPI number?

The NPI number for Zarina Ali is 1295900942. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Zarina Ali located?

Zarina Ali practices at 3400 Civic Center Blvd 2nd Flr. South Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.

What is Zarina Ali's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Zarina Ali enrolled in Medicare?

Yes. Zarina 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 Zarina Ali accept?

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

According to CMS data, Zarina Ali is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Zarina Ali was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.