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MUHAMMAD ALI M.D.
NPI 1427248608
Internal Medicine - Gastroenterology in San Antonio, TX

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
11212 STATE HIGHWAY 151 STE 250, MEDICAL PLAZA 1, SAN ANTONIO, TX 78251(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Mar 17, 2018, Feb 19, 2018 and 1 more (4 updates tracked since 2016).

About Muhammad Ali M.d. NPPES

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

MUHAMMAD ALI M.D. (NPI 1427248608) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (P9788) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1427248608
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMUHAMMAD ALICredential: M.D.
Location Address11212 STATE HIGHWAY 151 STE 250, MEDICAL PLAZA 1San Antonio, TX 78251-4507
Mailing Address8415 Datapoint Dr Ste 700San Antonio, TX 78229-3327 · (210) 614-1234 · Fax (210) 614-0952
Phone(210) 614-1234
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 25, 2007
Last NPPES UpdateNovember 8, 20214 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1427248608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · P9788
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.
11212 STATE HIGHWAY 151 STE 250, San Antonio, TX 78251
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1855 Proton RdSan Antonio, TX 78258-4203 · Phone (210) 614-1234 · Fax (210) 614-0952
Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-3666
Location 35223 Hamilton Wolfe RdSan Antonio, TX 78229-4463 · Phone (210) 614-1234 · Fax (210) 614-0952
Location 412850 Toepperwein RdLive Oak, TX 78233-4115 · Phone (210) 614-1234 · Fax (210) 614-0952

Other Identifiers 1

Medicaid355995702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Muhammad 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 ID9830257922
PECOS Enrollment IDI20160225001384
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
135 services135 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.
89 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 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.
73 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services40 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Reported Quality Measures

Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
98%149 patients
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 3

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

DR. BRADLEY ELLIOTT MILLER M.D.
Internal Medicine (Pulmonary Disease)
11212 STATE HIGHWAY 151 STE 250
SAN ANTONIO, TX 78251
Bexar County (210) 704-0184
DR. CESAR FRANCISCO ARTILES FELIZ M.D.
Internal Medicine (Pulmonary Disease)
11212 STATE HIGHWAY 151 STE 250
SAN ANTONIO, TX 78251
Bexar County (210) 703-8800
ALAN SIQUEIROS M.D.
Internal Medicine (Pulmonary Disease)
11212 STATE HIGHWAY 151 STE 250
SAN ANTONIO, TX 78251
Bexar County (210) 704-0184

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 Muhammad Ali's NPI number?

The NPI number for Muhammad Ali is 1427248608. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Muhammad Ali located?

Muhammad Ali practices at 11212 State Highway 151 Ste 250 Medical Plaza 1, San Antonio, TX 78251. The listed phone number is (210) 614-1234.

What is Muhammad Ali's specialty?

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

Is Muhammad Ali enrolled in Medicare?

Yes. Muhammad 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 Muhammad Ali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Muhammad 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 Muhammad Ali affiliated with any hospitals?

According to CMS data, Muhammad Ali is affiliated with Christus Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Ali was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.