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MUHAMMAD USMAN ALI MD
NPI 1316399587
Internal Medicine - Nephrology in Toledo, OH

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-5614(419) 383-5618 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2026, Nov 3, 2025, May 20, 2021 and 3 more (6 updates tracked since 2016).

About Muhammad Usman Ali Md NPPES

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

MUHAMMAD USMAN ALI MD (NPI 1316399587) is an individual nephrology provider in Toledo, Ohio, licensed in Ohio (35.148257) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1316399587
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMUHAMMAD USMAN ALICredential: MD
Location Address3000 ARLINGTON AVEToledo, OH 43614-2598
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5322
Phone(419) 383-5614
Fax(419) 383-5618
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2016
Last NPPES UpdateJanuary 26, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1316399587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 35.148257
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.148257 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.148257 (OH)
3000 ARLINGTON AVE, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1725 S Shoop Ave Ste 103Wauseon, OH 43567-1702 · Phone (419) 337-0004 · Fax (419) 337-0006
Location 21125 Hospital Dr Fl 2Toledo, OH 43614-8001 · Phone (419) 383-6836 · Fax (419) 383-2874
Location 32100 W Central Ave Ste 200Toledo, OH 43606-3817 · Phone (567) 420-1600 · Fax (567) 420-1637
Location 43333 Glendale Ave Ste 1350Toledo, OH 43614-2426 · Phone (419) 383-5614 · Fax (419) 383-5600

Other Identifiers 1

Medicaid0498003OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, Molina Healthcare.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

Muhammad Usman 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 ID8325484637
PECOS Enrollment IDI20240308002854
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 10

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.
434 services177 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.
117 services95 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.
97 services87 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
85 services46 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.
67 services38 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.
66 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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 20

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

DR. SEAN O. MCKEE PHARMD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE, GRADUATE MEDICAL EDUCATION MS 1050
TOLEDO, OH 43614
Lucas County (419) 383-4244
DR. SIYUN ZHANG PHARMD
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
TAMARA AVEZBADALOV MD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3752
DR. MARTIN JOSEPH OHLINGER PHARMD
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Lucas County (419) 383-3898
DR. BURTON LEE ROGERS JR. ED.D, MBA, ATC, LPTA
Specialist/Technologist (Athletic Trainer)
3000 ARLINGTON AVE, MORSE CENTER DOWLING HALL
TOLEDO, OH 43614
Lucas County (419) 383-4000
JEANETTE WOODRUFF R.PH.
Pharmacist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
DR. BRIAN ALLAN CUSTER D.M.D.
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3504
MRS. JULIE ANN ST JEAN PA-C
Physician Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3888

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 Muhammad Usman Ali's NPI number?

The NPI number for Muhammad Usman Ali is 1316399587. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Muhammad Usman Ali located?

Muhammad Usman Ali practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-5614.

What is Muhammad Usman Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Muhammad Usman Ali enrolled in Medicare?

Yes. Muhammad Usman 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 Muhammad Usman Ali accept?

Health plans from CareSource, McLaren Health Plan Community and Molina Healthcare list Muhammad Usman 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 Muhammad Usman Ali affiliated with any hospitals?

According to CMS data, Muhammad Usman Ali is affiliated with Edward W Sparrow Hospital, University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Usman Ali was last updated on January 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.