DR. MADAD ALI M.D.
NPI 1376564815
Internal Medicine - Gastroenterology in Harvey, IL

Q: What is Madad Ali's NPI number?

The NPI number for Madad Ali is 1376564815. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Madad Ali'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 Madad Ali was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 21, 2006PECOS EnrolledAccepts Medicare Assignment

1 INGALLS DR, HARVEY, IL 60426(855) 826-3878 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Jul 9, 2023, Jan 5, 2023 and 5 more (8 updates tracked since 2016).

On this page

About Dr. Madad Ali M.d. NPPES

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

DR. MADAD ALI M.D. (NPI 1376564815) is an individual gastroenterology provider in Harvey, Illinois, licensed in Illinois (036140847) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ingalls Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376564815

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MADAD ALICredential: M.D.

Location Address1 INGALLS DRHarvey, IL 60426-3558

Mailing Address1 Ingalls DrHarvey, IL 60426-3558

Phone(855) 826-3878

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateJuly 21, 2006

Last NPPES UpdateJuly 24, 20248 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1376564815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IL · 036140847✔ Licensed in TX · U2767✔ Licensed in MO · 2002027101✔ Licensed in NY · 121321✔ Licensed in TX · 47868✔ Licensed in NJ · 25MA03726400✔ Licensed in TX · 99999✔ Licensed in PA · MD451324

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 47868 (TX), 99999 (TX), U2767 (TX)

1 INGALLS DR, Harvey, IL 60426

Open in Google Maps ↗

Secondary Practice Locations 4

Location 114 Morrison StCloster, NJ 07624-1129 · Phone (573) 727-6581

Location 2125 River Rd Ste 103Edgewater, NJ 07020-1002 · Phone (201) 969-2111 · Fax (201) 969-8015

Location 3802 N Riverside Rd Ste 220Saint Joseph, MO 64507-2509 · Phone (816) 271-7074

Location 41504 Taub LoopHouston, TX 77030-1608 · Phone (713) 873-8890

Other Identifiers 3

Other174360MO · Alliance Blue Cross Blue Shield

Medicaid206012700MO

Medicaid103215762PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.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. Madad Ali 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 ID8325180565

PECOS Enrollment IDI20160816002108, I20161201000908

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 2

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.

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.

22 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL

2/5 CMS rating

OwnershipPhysician

CMS Certification Number140191

Location1 Ingalls DriveHarvey, IL 60426 · Cook County

Emergency services Birthing friendly

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450211

Location1201 West Frank StreetLufkin, TX 75901 · Angelina County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60426 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

MARGARET ANN WOODS R.D.

Dietitian, Registered

1 INGALLS DR, INGALLS MEMORIAL HOSPITAL
HARVEY, IL 60426

Cook County (708) 915-7534

INGALLS MEMORIAL HOSPITAL

Rehabilitation Unit

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 915-6107

MRS. SARA C SUNGKAPAN MS, OTR/L

Occupational Therapist

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 915-5962

ASSOCIATED LABORATORY PHYSICIANS SC

Pathology (Anatomic Pathology & Clinical Pathology)

1 INGALLS DR, PATHOLOGY DEPT.
HARVEY, IL 60426

Cook County (708) 915-5763

MARK STOSSEL M.D.

Emergency Medicine

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 332-2300

MRS. NANCY R. DUMONT OT

Rehabilitation Hospital

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 333-2300

LARRY L FOSTER P.A.

Physician Assistant

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 332-2300

JUDITH NG WEN RDN

Dietitian, Registered

1 INGALLS DR
HARVEY, IL 60426

Cook County (708) 915-5945

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 Madad Ali's NPI number?

The NPI number for Madad Ali is 1376564815. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Madad Ali located?

Madad Ali practices at 1 Ingalls Dr, Harvey, IL 60426. The listed phone number is (855) 826-3878.

What is Madad Ali's specialty?

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

Is Madad Ali enrolled in Medicare?

Yes. Madad 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 Madad Ali accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Madad 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 Madad Ali affiliated with any hospitals?

According to CMS data, Madad Ali is affiliated with Ingalls Memorial Hospital and Chi St Lukes Health Memorial Lufkin.

When was this NPI record last updated?

The NPPES record for Madad Ali was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.