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ALI FATHOLLAHI M.D.
NPI 1346620507
Urology in Doral, FL

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
3650 NW 82ND AVE STE PH501, DORAL, FL 33166(305) 251-8650(305) 251-8913 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Jun 22, 2024 (2 updates tracked since 2024).

About Ali Fathollahi M.d. NPPES

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

ALI FATHOLLAHI M.D. (NPI 1346620507) is an individual urology provider in Doral, Florida, licensed in Florida (ME177767) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Kendall Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346620507
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameALI FATHOLLAHICredential: M.D.
Location Address3650 NW 82ND AVE STE PH501Doral, FL 33166-6658
Mailing Address3650 Nw 82nd Ave Ste Ph501Doral, FL 33166-6658 · (305) 251-8650 · Fax (305) 251-8913
Phone(305) 251-8650
Fax(305) 251-8913
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 3, 2015
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1346620507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME177767
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3650 NW 82ND AVE STE PH501, Doral, FL 33166
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Other Identifiers 1

Medicaid113895800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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 Fathollahi 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 ID5193209252
PECOS Enrollment IDI20260317004675
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 Reassignment

Medicare enrollment records show Ali Fathollahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssr Consultants Inc
Same address
Urology
3650 NW 82ND AVE STE PH501
Doral, FL 33166
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1487663563 (305) 251-8650

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

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33166 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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 3

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

SHIRIN RAZDAN MD
Urology
3650 NW 82ND AVE STE PH501
DORAL, FL 33166
Miami-Dade County (305) 251-8650
SSR CONSULTANTS INC
Urology
3650 NW 82ND AVE STE PH501
DORAL, FL 33166
Miami-Dade County (305) 251-8650
SANJAY RAZDAN MD
Urology
3650 NW 82ND AVE STE PH501
DORAL, FL 33166
Miami-Dade County (305) 251-8650

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 Fathollahi's NPI number?

The NPI number for Ali Fathollahi is 1346620507. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Ali Fathollahi located?

Ali Fathollahi practices at 3650 NW 82nd Ave Ste Ph501, Doral, FL 33166. The listed phone number is (305) 251-8650.

What is Ali Fathollahi's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ali Fathollahi enrolled in Medicare?

Yes. Ali Fathollahi 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 organization bills Medicare for Ali Fathollahi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Fathollahi reassigns Medicare benefits to Ssr Consultants Inc (Doral, FL). The 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 Fathollahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Fathollahi accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Molina Healthcare and Wellpoint list Ali Fathollahi 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 Fathollahi affiliated with any hospitals?

According to CMS data, Ali Fathollahi is affiliated with Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Ali Fathollahi was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.