ALI R. QAMAR M.D.
NPI 1316248727
Internal Medicine - Endocrinology, Diabetes & Metabolism in Durham, NC

Q: What is Ali Qamar's NPI number?

The NPI number for Ali Qamar is 1316248727. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Q: What is Ali Qamar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Ali Qamar was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 16, 2010PECOS EnrolledAccepts Medicare Assignment

40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2019, Feb 16, 2019 (2 updates tracked since 2019).

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About Ali R. Qamar M.d. NPPES

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

ALI R. QAMAR M.D. (NPI 1316248727) is an individual endocrinology, diabetes & metabolism provider in Durham, North Carolina, licensed in North Carolina (2017-00165) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316248727

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameALI R. QAMARCredential: M.D.

Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000

Mailing Address40 Duke Medicine CirDurham, NC 27710-4000 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 16, 2010

Last NPPES UpdateFebruary 21, 20192 updates tracked since enumeration

✔ NPI 1316248727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NC · 2017-00165

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2017-00165 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 2017-00165 (NC)

40 DUKE MEDICINE CIR, Durham, NC 27710

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Ali R. Qamar 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 ID6800036732

PECOS Enrollment IDI20190320003137, I20190920002236

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 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.

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.

179 services69 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.

89 services87 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.

79 services75 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

64 services37 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

42 services40 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340173

Location1900 Kildare Farm RoadCary, NC 27518 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

10 suppliers97 claims101 services$193.61 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.

MARY E KLOTMAN MD

Internal Medicine

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 684-8111

JONATHAN PAUL PICCINI SR. M.D., M.H.S.

Internal Medicine (Cardiovascular Disease)

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 684-8111

AMY TENDLER PA

Physician Assistant

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 684-5057

DR. LINDSAY KING M.D.

Internal Medicine

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 684-7685

MICHAEL TCHEUPDJIAN FORRESTER MD, PHD

Internal Medicine (Pulmonary Disease)

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 681-1300

MRS. MEGHAN AMY WARD M.S. CCC-SLP

Speech-Language Pathologist

40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710

Durham County (919) 684-3451

RAGHUBINDER S GILL M.D.

Internal Medicine (Gastroenterology)

40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710

Durham County (919) 684-2661

ETHAN YICHEN SONG

Student in an Organized Health Care Education/Training Program

40 DUKE MEDICINE CIR
DURHAM, NC 27710

Durham County (919) 681-7139

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 Ali Qamar's NPI number?

The NPI number for Ali Qamar is 1316248727. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Ali Qamar located?

Ali Qamar practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Ali Qamar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ali Qamar enrolled in Medicare?

Yes. Ali Qamar 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 Ali Qamar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Ali Qamar 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 Ali Qamar affiliated with any hospitals?

According to CMS data, Ali Qamar is affiliated with Duke University Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Ali Qamar was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.