DR. ALI YOUSSEF FAKHREDDINE M.D.
NPI 1336586908
Internal Medicine - Gastroenterology in Encinitas, CA

Q: What is Ali Fakhreddine's NPI number?

The NPI number for Ali Fakhreddine is 1336586908. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Q: What is Ali Fakhreddine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ali Fakhreddine was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 22, 2013PECOS EnrolledAccepts Medicare Assignment

310 SANTA FE DR, ENCINITAS, CA 92024(760) 633-7280(760) 633-7093 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Ali Youssef Fakhreddine M.d. NPPES

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

DR. ALI YOUSSEF FAKHREDDINE M.D. (NPI 1336586908) is an individual gastroenterology provider in Encinitas, California, licensed in California (A133244) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336586908

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ALI YOUSSEF FAKHREDDINECredential: M.D.

Location Address310 SANTA FE DREncinitas, CA 92024-5110

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 633-7280 · Fax (760) 633-7093

Phone(760) 633-7280

Fax(760) 633-7093

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 22, 2013

Last NPPES UpdateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1336586908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A133244

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A133244 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

310 SANTA FE DR, Encinitas, CA 92024

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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

Dr. Ali Youssef Fakhreddine 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 ID547531642

PECOS Enrollment IDI20170808003204

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

Medicare enrollment records show Ali Fakhreddine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scripps Health

0.1 mi

General Acute Care Hospital

354 SANTA FE DR
Encinitas, CA 92024

Reassigned Medicare billing, California enrollment
1,598 clinicians in this Medicare group

NPI 1700829199 (760) 457-4123

County Of Los Angeles

74 mi

Clinic/Center

1333 CHESTNUT AVE
Long Beach, CA 90813

Reassigned Medicare billing, California enrollment
1,939 clinicians in this Medicare group

NPI 1568483766 (562) 599-8709

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 12

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

166 services152 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 services92 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.

111 services111 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

102 services102 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

97 services90 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.

58 services47 patients

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.

50 services45 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.

48 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

41 services41 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

30 services25 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.

18 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 10

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

DR. DINA FAINMAN MD

Obstetrics & Gynecology

310 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024

San Diego County (760) 633-7245

DR. LILY JENNY TSAI MD

Obstetrics & Gynecology

310 SANTA FE DR
ENCINITAS, CA 92024

San Diego County (760) 633-7245

RIAZ M. AHMED M.D.

Internal Medicine (Cardiovascular Disease)

310 SANTA FE DR
ENCINITAS, CA 92024

San Diego County (760) 633-7275

W. BLAINE PHILLIPS, M.D., INC.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

310 SANTA FE DR, SUITE 111
ENCINITAS, CA 92024

San Diego County (760) 943-1923

MARY ANN MERCADO LUGOD-MANALAD NP-C

Nurse Practitioner (Family)

310 SANTA FE DR, STE 112
ENCINITAS, CA 92024

San Diego County (760) 632-9600

REBECCA MOORE RN., CDE

Nutritionist (Nutrition, Education)

310 SANTA FE DR
ENCINITAS, CA 92024

San Diego County (760) 753-5594

SKYHAR MD INC

Orthopaedic Surgery

310 SANTA FE DR, SUITE 112
ENCINITAS, CA 92024

San Diego County (760) 690-3800

DR. DWIGHT E. COOK M.D.

Family Medicine

310 SANTA FE DR
ENCINITAS, CA 92024

San Diego County (760) 753-5594

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 Fakhreddine's NPI number?

The NPI number for Ali Fakhreddine is 1336586908. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Ali Fakhreddine located?

Ali Fakhreddine practices at 310 Santa Fe Dr, Encinitas, CA 92024. The listed phone number is (760) 633-7280.

What is Ali Fakhreddine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ali Fakhreddine enrolled in Medicare?

Yes. Ali Fakhreddine 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 Fakhreddine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Fakhreddine reassigns Medicare benefits to 2 organizations: Scripps Health (Encinitas, CA) and County Of Los Angeles (Long Beach, CA). 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 Fakhreddine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ali Fakhreddine was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.