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DR. ARSHAD ALI MD
NPI 1508178526
Internal Medicine - Nephrology in Cadillac, MI

Active since July 07, 2010PECOS EnrolledAccepts Medicare Assignment
8795 PINE RIDGE DR, STE B, CADILLAC, MI 49601(231) 779-9960(231) 779-8945 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2016, Mar 17, 2016 (2 updates tracked since 2016).

About Dr. Arshad Ali Md NPPES

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

DR. ARSHAD ALI MD (NPI 1508178526) is an individual nephrology provider in Cadillac, Michigan, licensed in Michigan (4301106675) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1508178526
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ARSHAD ALICredential: MD
Location Address8795 PINE RIDGE DR, STE BCadillac, MI 49601-9720
Mailing Address8795 Pine Ridge Dr, Suite BCadillac, MI 49601-9720 · (231) 779-9960 · Fax (231) 779-8945
Phone(231) 779-9960
Fax(231) 779-8945
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2015
Enumeration DateJuly 7, 2010
Last NPPES UpdateMarch 31, 20162 updates tracked since enumeration
✔ NPI 1508178526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301106675
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
8795 PINE RIDGE DR, Cadillac, MI 49601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Arshad 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 ID7810208279
PECOS Enrollment IDI20150625002294
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 7

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.
795 services385 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.
164 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services58 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.
58 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
55 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230303
Location1465 E Parkdale AveManistee, MI 49660 · Manistee County
Emergency services

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
94%326 patients4/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
95%326 patients4/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
66%326 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,301 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%2,131 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%2,301 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,159 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%1,157 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 37% · 727 patients
42%727 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,159 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 781 patients
0%781 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$12.62 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHOAIB AHMED CHOWDHURY MD
Internal Medicine (Nephrology)
8795 PINE RIDGE DR, STE B
CADILLAC, MI 49601
Wexford County (231) 779-9960
TERRENCE WAYNE TATARCHUK MD
Surgery
8795 PINE RIDGE DR, SUITE B
CADILLAC, MI 49601
Wexford County (231) 775-1306
BILLIE JEAN ROBERTS-RITZEMA DDS
Dentist (General Practice)
8795 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 775-5381
LAWRENCE W SCHAPPA M D P C
Obstetrics & Gynecology (Gynecology)
8795 PINE RIDGE DR, SUITE B
CADILLAC, MI 49601
Wexford County (231) 779-8100
DR. NICOLE DURANTE DMD
Dentist
8795 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 775-5381
NICOLE DURANTE DMD PLLC
Clinic/Center (Dental)
8795 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 775-5381
CHOWDHURY MD PLLC
Internal Medicine (Nephrology)
8795 PINE RIDGE DR, STE B
CADILLAC, MI 49601
Wexford County (231) 779-9960
RITZEMA FAMILY DENTAL, P.C.
Dentist (General Practice)
8795 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 775-5381

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 Arshad Ali's NPI number?

The NPI number for Arshad Ali is 1508178526. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Where is Arshad Ali located?

Arshad Ali practices at 8795 Pine Ridge Dr Ste B, Cadillac, MI 49601. The listed phone number is (231) 779-9960.

What is Arshad Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Arshad Ali enrolled in Medicare?

Yes. Arshad 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 Arshad Ali accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Arshad 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 Arshad Ali affiliated with any hospitals?

According to CMS data, Arshad Ali is affiliated with Munson Healthcare Cadillac Hospital, Corewell Health Big Rapids Hospital, Corewell Health Ludington Hospital, Munson Healthcare Manistee Hospital and Corewell Health Reed City Hospital.

When was this NPI record last updated?

The NPPES record for Arshad Ali was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.