ANNIS MOHAMED BUSHAALA ALI MD
NPI 1447647904
Thoracic Surgery (Cardiothoracic Vascular Surgery) in York, PA
About Annis Mohamed Bushaala Ali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIS MOHAMED BUSHAALA ALI MD (NPI 1447647904) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in York, Pennsylvania, licensed in Pennsylvania (MD481917) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Annis Mohamed Bushaala Ali Md 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 Reassignment
Medicare enrollment records show Annis Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
York, PA 17403
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 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 6
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAGettysburg Hospital
Acute Care Hospitals · Gettysburg, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAWellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
YORK, PA 17403
YORK, PA 17403
YORK, PA 17403
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 Annis Ali's NPI number?
The NPI number for Annis Ali is 1447647904. It was assigned to this individual provider in the NPPES registry on April 22, 2015.
Where is Annis Ali located?
Annis Ali practices at 25 Monument Rd Ste 295, York, PA 17403. The listed phone number is (717) 356-5864.
What is Annis Ali's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Annis Ali enrolled in Medicare?
Yes. Annis 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 Annis Ali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annis Ali reassigns Medicare benefits to Wellspan Medical Group (York, PA). 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 Annis Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Annis Ali affiliated with any hospitals?
According to CMS data, Annis Ali is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital and Wellspan Ephrata Community Hospital.
When was this NPI record last updated?
The NPPES record for Annis Ali was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Annis Mohamed Bushaala Ali, MD · NPI 1447647904
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 22, 2015.
## Identity
- **NPI:** 1447647904 (Entity type: Individual)
- **Enumerated:** April 22, 2015
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** MD481917 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 MONUMENT RD STE 295, York, PA 17403-5049
- **Phone:** (717) 356-5864
## 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:** Wellspan Medical Group (NPI 1790315653, York, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447647904) · Data from the CMS NPPES public registry.