SHOHEB S ALI M.D.
NPI 1477908192
Hospitalist in Lawrenceville, GA

NPI Status: Active since May 02, 2016

Contact Information

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 312-3294
Fax: (678) 312-3282

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  • Individual
  • Male
  • Hospitalist
  • PECOS Enrolled

About SHOHEB ALI

This page provides the complete NPI Profile along with additional information for Shoheb Ali, a provider established in Lawrenceville, Georgia with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1477908192 assigned on May 2016. The practitioner's primary taxonomy code is 208M00000X with license number 86041 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1477908192
Provider Name
SHOHEB S ALI M.D.
Gender
Male
Entity Type
Individual
Location Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Location Phone
(678) 312-3294
Location Fax
(678) 312-3282
Mailing Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Mailing Phone
(678) 312-3294
Mailing Fax
(678) 312-3282
Is Sole Proprietor?
No
Enumeration Date
05-02-2016
Last Update Date
03-05-2023
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Location Map

Secondary Locations

  • 593 Eddy St
    Providence, RI 02903
    (401) 444-3985

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
86041
License State
GA
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD17430 (RI)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

86041 (GA)
3390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Shoheb Ali is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 17 times for 13 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 78 times for 78 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30046 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for SHOHEB S ALI M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477908192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 8 + 0 + 1 + 6 + 1 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1477908192.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Internal Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Emergency Medicine (Pediatric Emergency Medicine)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Anesthetist, Certified Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Rehabilitation Hospital
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physical Therapy Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477908192, enumerated as an "individual" on May 02, 2016.

The provider is located at 1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046 and the phone number is (678) 312-3294.

Hospitalist with taxonomy code 208M00000X.