DR. ALI ABEDI M.D.
NPI 1346566312
Internal Medicine - Pulmonary Disease in San Antonio, TX

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
51.85/100
CMS Quality Rating
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: June 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ali Abedi M.d. NPPES

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

DR. ALI ABEDI M.D. (NPI 1346566312) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (P8207) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346566312
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ALI ABEDICredential: M.D.
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-6685
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateJune 26, 2017
NPI 1346566312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · P8207
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License P8207 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License P8207 (TX)
4502 MEDICAL DR, San Antonio, TX 78229

Other Identifiers 3

Other327608102TX · Cshcn
Medicare PIN325761YK00TX
Medicaid327608101TX

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

Dr. Ali Abedi 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 ID2466680855
PECOS Enrollment IDI20140109001386
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 18

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
523 services215 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.
507 services259 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.
421 services153 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
161 services152 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
149 services144 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
146 services141 patients

Hospital Affiliations CMS Care Compare 4

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

51.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.95
Promoting Interoperability37
Improvement Activities20
Cost43.4

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers35 claims35 services$31.77 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers12 claims21 services$1.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers33 claims33 services$75.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers33 claims89 services$29.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers12 claims67 services$13.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers14 claims14 services$44.70 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.

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Abedi's NPI number?

The NPI number for Ali Abedi is 1346566312. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Ali Abedi located?

Ali Abedi practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Ali Abedi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ali Abedi enrolled in Medicare?

Yes. Ali Abedi 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 Abedi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Ali Abedi 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 Abedi affiliated with any hospitals?

According to CMS data, Ali Abedi is affiliated with Peterson Regional Medical Center, Val Verde Regional Medical Center, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Ali Abedi was last updated on June 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.