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MIR MAHBOOB ALI MD
NPI 1457291874
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 30, 2026PECOS Enrolled
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8191(262) 687-2674 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mir Mahboob Ali Md NPPES

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

MIR MAHBOOB ALI MD (NPI 1457291874) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457291874
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIR MAHBOOB ALICredential: MD
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901 · (414) 527-8191 · Fax (262) 687-2674
Phone(414) 527-8191
Fax(262) 687-2674
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 29, 2026
✔ NPI 1457291874 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.
2400 W VILLARD AVE, Milwaukee, WI 53209
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Other Names 1

Other Name (5)Fnu Mir Mahboob Ali Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mir Mahboob Ali Md 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.

MARY C MORRISON SOCIAL WORKER
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. CHUNG VAN DAO M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
BRYAN JOHNSTON
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. ALYSSA NICOLE FAIRSERVICE MD
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
DR. SADAF DIDI JIWAN M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. ROBIN L HELM MD
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
DR. MAGGIE ELIZABETH WALSH MD
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
LAURA TORRICO BRUSKY M.D.
Family Medicine
2400 W VILLARD AVE, ALL SAINTS FAMILY CARE CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348

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 Mir Mahboob Ali's NPI number?

The NPI number for Mir Mahboob Ali is 1457291874. It was assigned to this individual provider in the NPPES registry on March 30, 2026. The provider is also known as Fnu Mir Mahboob Ali MD.

Where is Mir Mahboob Ali located?

Mir Mahboob Ali practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8191.

What is Mir Mahboob 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 Mir Mahboob Ali enrolled in Medicare?

Yes. Mir Mahboob Ali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mir Mahboob Ali was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.