DR. MADAD ALI M.D.
NPI 1376564815
Internal Medicine - Gastroenterology in Harvey, IL
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
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 3
Accepted 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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Madad Ali reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harvey, IL 60426
- Reassigned Medicare billing, Illinois enrollment
- 126 clinicians in this Medicare group
Meadville, PA 16335
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1184791022 (Pennsylvania)
- 48 clinicians in this Medicare group
Ligonier, PA 15658
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Mercersburg, PA 17236
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Abilene, TX 79601
- Reassigned Medicare billing, Texas enrollment
- 420 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Brownwood, TX 76801
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
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 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.
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, ILChi St Lukes Health Memorial Lufkin
Acute Care Hospitals · Lufkin, TXPhysician 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.
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.
HARVEY, IL 60426
HARVEY, IL 60426
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.
Which organizations bill Medicare for Madad Ali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madad Ali reassigns Medicare benefits to 8 organizations: Ucm Medical Group Sub, LLC (Harvey, IL), Meadville Medical Center (Meadville, PA), Dlp Conemaugh Physician Practices LLC (Ligonier, PA), Wellspan Medical Group (Mercersburg, PA), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and 3 more organizations, listed in the Medicare section above. 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 Madad Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madad Ali accept?
Health plans from Blue Cross and Blue Shield of Texas 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.
# Dr. Madad Ali, M.D. · NPI 1376564815
Gastroenterology physician in Harvey, Illinois. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1376564815 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 036140847 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 INGALLS DR, Harvey, IL 60426-3558
- **Phone:** (855) 826-3878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Ucm Medical Group Sub, LLC (NPI 1467442293, Harvey, IL); Meadville Medical Center (NPI 1629633573, Meadville, PA); Dlp Conemaugh Physician Practices LLC (NPI 1588070551, Ligonier, PA); Wellspan Medical Group (NPI 1407568298, Mercersburg, PA); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1972
## Record status
- **NPPES last updated:** July 24, 2024
- **Other identifiers:** Other 174360 (MO); Medicaid 206012700 (MO); Medicaid 103215762 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376564815) · Data from the CMS NPPES public registry.