Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOBIA ALI M.D.
NPI 1417166422
Internal Medicine - Gastroenterology in Brandon, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
609 MEDICAL CARE DR, BRANDON, FL 33511(813) 685-5100(813) 689-6797 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Mar 26, 2021, May 11, 2017 and 3 more (6 updates tracked since 2016).

About Sobia Ali M.d. NPPES

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

SOBIA ALI M.D. (NPI 1417166422) is an individual gastroenterology provider in Brandon, Florida, licensed in Florida (ME106694) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1417166422
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSOBIA ALICredential: M.D.
Location Address609 MEDICAL CARE DRBrandon, FL 33511-5942
Mailing Address15303 Amberly Dr Ste ATampa, FL 33647-2308 · (813) 751-9727 · Fax (813) 441-7373
Fax(813) 689-6797
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 22, 2007
Last NPPES UpdateOctober 7, 20266 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1417166422 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 FL · ME106694✔ Licensed in IA · R-7743✔ Licensed in IA · 38488
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 38488 (IA)
609 MEDICAL CARE DR, Brandon, FL 33511

Secondary Practice Location 1

Location 115303 Amberly Dr Ste ATampa, FL 33647-2308 · Phone (813) 751-9727 · Fax (813) 441-7373

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

Sobia 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 ID1951455443
PECOS Enrollment IDI20110922000545
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 Sobia Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
15303 AMBERLY DR STE A
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 8 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 21

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.
1,456 services239 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.
1,316 services345 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
302 services263 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.
195 services115 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
157 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
148 services145 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Baycare Hospital Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
OwnershipProprietary
CMS Certification Number100362
Location4501 Bruce B. Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%795 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%795 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 18% · 391 patients
18%391 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
609 MEDICAL CARE DR
BRANDON, FL 33511
Internal Medicine (Gastroenterology)
609 MEDICAL CARE DR
BRANDON, FL 33511
Physical Therapist
609 MEDICAL CARE DR
BRANDON, FL 33511
Physical Therapist
609 MEDICAL CARE DR
BRANDON, FL 33511
Internal Medicine (Gastroenterology)
609 MEDICAL CARE DR
BRANDON, FL 33511
Physical Medicine & Rehabilitation
609 MEDICAL CARE DR
BRANDON, FL 33511
Nurse Practitioner
609 MEDICAL CARE DR
BRANDON, FL 33511
Physical Therapist
609 MEDICAL CARE DR
BRANDON, FL 33511

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 Sobia Ali's NPI number?

The NPI number for Sobia Ali is 1417166422. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Sobia Ali located?

Sobia Ali practices at 609 Medical Care Dr, Brandon, FL 33511. The listed phone number is (813) 685-5100.

What is Sobia Ali's specialty?

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

Is Sobia Ali enrolled in Medicare?

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

According to the CMS Revalidation Reassignment List (October 2026 release), Sobia Ali reassigns Medicare benefits to Advanced Care Gastroenterology Associates (Tampa, 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 Sobia Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sobia Ali accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Sobia 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 Sobia Ali affiliated with any hospitals?

According to CMS data, Sobia Ali is affiliated with Adventhealth Tampa and Baycare Hospital Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Sobia Ali was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.