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ALI AL TUAMA M.D.
NPI 1326602806
Surgery in Allentown, PA

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
240 CETRONIA RD STE 205N, ALLENTOWN, PA 18104(484) 426-2600(833) 816-7512 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2020, Dec 5, 2019, Apr 30, 2019 (3 updates tracked since 2019).

About Ali Al Tuama M.d. NPPES

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

ALI AL TUAMA M.D. (NPI 1326602806) is an individual surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD489973) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326602806
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALI AL TUAMACredential: M.D.
Location Address240 CETRONIA RD STE 205NAllentown, PA 18104-9263
Mailing Address240 Cetronia Rd Ste 205nAllentown, PA 18104-9263 · (484) 426-2600 · Fax (833) 816-7512
Phone(484) 426-2600
Fax(833) 816-7512
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 30, 2019
Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1326602806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD489973
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
240 CETRONIA RD STE 205N, Allentown, PA 18104
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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 Health, Ambetter of Alabama and more.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

Ali Al Tuama 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 ID9436577236
PECOS Enrollment IDI20250620000962, I20260224004362
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

3

Medicare enrollment records show Ali Al Tuama reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Obstetrics & Gynecology
240 CETRONIA RD STE 125
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1740219211 (484) 426-2670
St. Luke's Warren Physician Group, PC
22 mi
Obstetrics & Gynecology
39 ROSEBERRY ST STE 2
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 153 clinicians in this Medicare group
NPI 1578041174 (908) 847-1037
Wellstar Medical Group, LLC
658 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 7

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

CANDACE MORGAN
Physician Assistant
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
KIMBERLEY POLIZZANO PA-C
Physician Assistant
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
RAMA ESKANDER PAC
Physician Assistant
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
KATHRYN E. NASSAR PA-L
Physician Assistant
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
YENNBU T NGUYEN NP
Nurse Practitioner
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
DR. IKEMEFUNA AKUSOBA M.D.
Surgery
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600
OMOWUNMI OLUWO MD
Surgery
240 CETRONIA RD STE 205N
ALLENTOWN, PA 18104
Lehigh County (484) 426-2600

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 Al Tuama's NPI number?

The NPI number for Ali Al Tuama is 1326602806. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Ali Al Tuama located?

Ali Al Tuama practices at 240 Cetronia Rd Ste 205N, Allentown, PA 18104. The listed phone number is (484) 426-2600.

What is Ali Al Tuama's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ali Al Tuama enrolled in Medicare?

Yes. Ali Al Tuama 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 Ali Al Tuama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Al Tuama reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Allentown, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Wellstar Medical Group, LLC (Canton, GA). 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 Ali Al Tuama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Al Tuama accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Ali Al Tuama 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 Al Tuama affiliated with any hospitals?

According to CMS data, Ali Al Tuama is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Ali Al Tuama was last updated on August 1, 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.