MARWAN M ALI MD
NPI 1477915775
Urology in Jacksonville, FL

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
710 LOMAX ST, JACKSONVILLE, FL 32204(904) 355-6583(904) 355-4922 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Aug 17, 2021, Jul 29, 2021 and 2 more (5 updates tracked since 2016).

About Marwan M Ali Md NPPES

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

MARWAN M ALI MD (NPI 1477915775) is an individual urology provider in Jacksonville, Florida, licensed in Virginia (0101272675) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Northeastern Ohio University College Of Medicine (2016).

NPPES Registry Identity

NPI1477915775
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMARWAN M ALICredential: MD
Location Address710 LOMAX STJacksonville, FL 32204-4015
Mailing Address710 Lomax StJacksonville, FL 32204-4015 · (904) 355-6583 · Fax (904) 355-4922
Fax(904) 355-4922
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2016
Enumeration DateMarch 25, 2016
Last NPPES UpdateJanuary 6, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
NPI 1477915775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in VA · 0101272675 Licensed in FL · ME157602
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
710 LOMAX ST, Jacksonville, FL 32204

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marwan M 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.

PECOS PAC ID6507148731
PECOS Enrollment IDI20220928003850
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.

Areas of Expertise CMS Part B claims 21

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.

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.
426 services290 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
371 services264 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
293 services248 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
268 services202 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
144 services144 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
85 services68 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier20 claims3,180 services$6.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Nurse Practitioner
710 LOMAX ST
JACKSONVILLE, FL 32204
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204

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 Marwan Ali's NPI number?

The NPI number for Marwan Ali is 1477915775. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Marwan Ali located?

Marwan Ali practices at 710 Lomax St, Jacksonville, FL 32204. The listed phone number is (904) 355-6583.

What is Marwan Ali's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marwan Ali enrolled in Medicare?

Yes. Marwan 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.

What insurance does Marwan Ali accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Marwan 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 Marwan Ali affiliated with any hospitals?

According to CMS data, Marwan Ali is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Marwan Ali was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.