DR. MOHAMMED ZULFEQUAR ALI M.D.
NPI 1497751853
Hospitalist in Gettysburg, PA

Q: What is Mohammed Ali's NPI number?

The NPI number for Mohammed Ali is 1497751853. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Mohammed Ali's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammed Ali was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

147 GETTYS ST, GETTYSBURG, PA 17325(717) 339-2025 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Mar 7, 2023, Aug 15, 2022 (3 updates tracked since 2022).

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About Dr. Mohammed Zulfequar Ali M.d. NPPES

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

DR. MOHAMMED ZULFEQUAR ALI M.D. (NPI 1497751853) is an individual hospitalist provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD426399) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1497751853

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MOHAMMED ZULFEQUAR ALICredential: M.D.

Location Address147 GETTYS STGettysburg, PA 17325-2534

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 339-2025

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 21, 2005

Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1497751853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD426399

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD426399 (PA)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License D69527 (MD)

147 GETTYS ST, Gettysburg, PA 17325

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Secondary Practice Location 1

Location 111110 Medical Campus Rd, Suite 150Hagerstown, MD 21742-6700 · Phone (301) 665-4740 · Fax (301) 665-4741

Other Identifiers 23

Other25-1716306PA · Intergroup

Other7750649PA · Aetna Non-hmo

OtherP00683484PA · Railroad Medicare

OtherG920-0091/KDM4CUPA · Carefirst

Other25-1716306PA · First Health

Other3155293PA · Mamsi

Other247036PA · Unison

Other25-1716306PA · Informed

Other25-1716306PA · Healthnet/tricare

Other25-1716306PA · Greatwest

OtherMD426399PA · Medical License #

Medicaid101533006PA

Other120420419PA · Dept Of Labor

Other1824751PA · Aetna Hmo

Other25-1716306PA · South Central

Other25-1716306PA · Multiplan/phcs

Other1560150PA · Gateway

Other867633PA · Group Medicare #

Other50077015PA · Capital Bluecross

Other1007307260034PA · Medicaid Group #

Other1767580PA · Highmark Blue Shield

Other25-1716306PA · Devon

Other800636PA · Health America

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

Dr. Mohammed Zulfequar Ali M.d. 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 ID4284604539

PECOS Enrollment IDI20051228000298, I20101015000425

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 9

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

495 services442 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.

317 services195 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

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.

116 services115 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

73 services69 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

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.

73 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210001

Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County

Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390065

Location147 Gettys StreetGettysburg, PA 17325 · Adams County

Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391303

Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KAREN CHALANICK

Nurse Practitioner (Pediatrics)