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ASAD ALI MBBS
NPI 1437454188
Internal Medicine - Gastroenterology in Syracuse, NY

Active since January 11, 2011PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
SUNY UPSTATE MEDICAL UNIVERSITY, 750 E ADAMS ST, CWB 318, SYRACUSE, NY 13210(315) 464-5804(315) 464-5809 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2024, Jul 10, 2024, Mar 16, 2023 and 2 more (5 updates tracked since 2018).

About Asad Ali Mbbs NPPES

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

ASAD ALI MBBS (NPI 1437454188) is an individual gastroenterology provider in Syracuse, New York, licensed in New York (319893) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437454188
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameASAD ALICredential: MBBS
Location AddressSUNY UPSTATE MEDICAL UNIVERSITY, 750 E ADAMS ST, CWB 318Syracuse, NY 13210
Mailing AddressSuny Upstate Medical University, 750 E Adams St, Cwb 318Syracuse, NY 13210 · (315) 464-5804 · Fax (315) 464-5809
Phone(315) 464-5804
Fax(315) 464-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 11, 2011
Last NPPES UpdateSeptember 13, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1437454188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 319893
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 41366 (IA)
Also ListedHospitalistTaxonomy 208M00000X · License MD-41366 (IA)
SUNY UPSTATE MEDICAL UNIVERSITY, Syracuse, NY 13210
Open in Google Maps ↗

Secondary Practice Locations 3

Location 150 LeRoy StPotsdam, NY 13676-1786 · Phone (315) 265-3300
Location 2200 Hawkins Dr, Dept of Internal MedicineIowa City, IA 52242 · Phone (319) 356-4019 · Fax (319) 356-3086
Location 3210 Cornelia StPlattsburgh, NY 12901-2336 · Phone (518) 825-4437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Asad Ali Mbbs 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 ID6002045200
PECOS Enrollment IDI20230125001600, I20260617002111
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 Reassignments

6

Medicare enrollment records show Asad Ali reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
1.0 mi
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1063468239 (315) 464-4505
Upstate Community Medical, PC
2.6 mi
Hospitalist
4900 BROAD RD
Syracuse, NY 13215
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1689620163 (315) 492-5305
St Josephs Medical PC
6.4 mi
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
NPI 1942501747 (315) 452-2828
Canton-Potsdam Hospital
127 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300
Champlain Valley Physicians Hospital Medical Center
176 mi
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
NPI 1033270699 (518) 561-2000
University Hospitals Medical Group Inc
300 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES

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

SEEMA SHARAN
Student in an Organized Health Care Education/Training Program
SUNY UPSTATE MEDICAL UNIVERSITY, 750 E ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-4527

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 Asad Ali's NPI number?

The NPI number for Asad Ali is 1437454188. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Asad Ali located?

Asad Ali practices at Suny Upstate Medical University 750 E Adams St, Cwb 318, Syracuse, NY 13210. The listed phone number is (315) 464-5804.

What is Asad Ali's specialty?

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

Is Asad Ali enrolled in Medicare?

Yes. Asad 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 Asad Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asad Ali reassigns Medicare benefits to 6 organizations: Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY), Upstate Community Medical, PC (Syracuse, NY), St Josephs Medical PC (Liverpool, NY), Canton-Potsdam Hospital (Potsdam, NY), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and 1 more organization, 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 Asad Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asad Ali accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Asad 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 Asad Ali affiliated with any hospitals?

According to CMS data, Asad Ali is affiliated with Samaritan Medical Center, Canton-Potsdam Hospital, University Hospital S U N Y Health Science Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Asad Ali was last updated on September 13, 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.