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MOONIS ALI
NPI 1457194888
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 13, 2024PECOS Enrolled
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Moonis Ali NPPES

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

MOONIS ALI (NPI 1457194888) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457194888
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOONIS ALI
Location Address820 SOUTH WOOD STREET, SUITE 100, MC 675Chicago, IL 60612
Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateJune 13, 2024
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1457194888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
820 SOUTH WOOD STREET, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonis Ali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

EITAN KATZ
Ophthalmology
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. LUNA SAMER NASRY DO
Pediatrics
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. TEVYN COLE SHADLYN M.D.
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
JOSHUA ROBERT HABERMANN DDS
Dentist (Oral and Maxillofacial Surgery)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
MS. ELISSA MINJU KIM DDS
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. WAN KWOK MD
Psychiatry & Neurology (Psychiatry)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
AMY BIBIANA DE LA TORRE MD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
RYAN ALEXANDER GALLO MD, PHD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Moonis Ali's NPI number?

The NPI number for Moonis Ali is 1457194888. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Moonis Ali located?

Moonis Ali practices at 820 South Wood Street Suite 100, Mc 675, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Moonis Ali's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Moonis Ali enrolled in Medicare?

Yes. Moonis Ali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moonis Ali was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.