ISMA ALI MD
NPI 1366287377
Family Medicine in Lititz, PA

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
562 W 2ND AVE, LITITZ, PA 17543(507) 261-9806 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2024, Jul 8, 2024, Jul 1, 2024 (3 updates tracked since 2024).

About Isma Ali Md NPPES

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

ISMA ALI MD (NPI 1366287377) is an individual family medicine provider in Lititz, Pennsylvania, licensed in Pennsylvania (LT001030) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366287377
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameISMA ALICredential: MD
Location Address562 W 2ND AVELititz, PA 17543-1816
Mailing Address562 W 2nd AveLititz, PA 17543-1816 · (507) 261-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 1, 2024
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1366287377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · LT001030
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

562 W 2ND AVE, Lititz, PA 17543

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

Isma 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 ID8921537937
PECOS Enrollment IDI20250121001294
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

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.

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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17543 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 15

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

Nurse Practitioner (Family)
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Counselor (Professional)
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543

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 Isma Ali's NPI number?

The NPI number for Isma Ali is 1366287377. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Isma Ali located?

Isma Ali practices at 562 W 2nd Ave, Lititz, PA 17543. The listed phone number is (507) 261-9806.

What is Isma Ali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Isma Ali enrolled in Medicare?

Yes. Isma 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 Isma Ali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Isma 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 Isma Ali affiliated with any hospitals?

According to CMS data, Isma Ali is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Isma Ali was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.