DR. ALI S ALAVI M.D.
NPI 1508936592
Urology in Fullerton, CA

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1950 SUNNYCREST DR, #3400, FULLERTON, CA 92835(714) 879-2410(714) 879-5340 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ali S Alavi M.d. NPPES

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

DR. ALI S ALAVI M.D. (NPI 1508936592) is an individual urology provider in Fullerton, California, licensed in California (A79874) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miamisburg, and is a graduate of University Of Virginia School Of Medicine (1996).

NPPES Registry Identity

NPI1508936592
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ALI S ALAVICredential: M.D.
Location Address1950 SUNNYCREST DR, #3400Fullerton, CA 92835-3638
Mailing Address1950 Sunnycrest Dr, #3400Fullerton, CA 92835-3638 · (714) 879-2410 · Fax (714) 879-5340
Fax(714) 879-5340
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1996
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1508936592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CA · A79874✔ Licensed in OH · 35.151394✔ Licensed in MT · 122109
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.
1950 SUNNYCREST DR, Fullerton, CA 92835

Secondary Practice Location 1

Location 14000 Miamisburg Centerville Rd Ste 207Miamisburg, OH 45342-3674 · Phone (937) 560-2011 · Fax (937) 560-2012

Other Identifiers 8

Other1851498133CA · Group Npi
Other05D0684380CA · Clia
Other05D0977537CA · Clia
MedicaidA79874CA
OtherGR0011581CA · Medi-cal Group Number
Other05D0552498CA · Clia
Other208800000XCA · Taxonomy
OtherYYY49655YCA · Blue Sheild Grp Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali S Alavi 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 ID7012906688
PECOS Enrollment IDI20040510000147
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Ali Alavi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1915 SUNNY CREST DR
Fullerton, CA 92835
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Family Medicine
2874 E IMPERIAL HWY
Brea, CA 92821
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
637 services421 patients
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.
631 services419 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.
301 services229 patients
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant 52442
This procedure involves placing additional tiny implants in the prostate gland using a special viewing device. It's a common method to address certain health concerns. The process is done carefully to ensure minimal discomfort.
108 services20 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
104 services100 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
103 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims2,240 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers42 claims6,515 services$1.44 avg. paid by Medicare
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 supplier13 claims690 services$6.20 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims96 services$1.54 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 14

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1950 SUNNYCREST DR, STE 1300
FULLERTON, CA 92835
Physical Medicine & Rehabilitation
1950 SUNNYCREST DR, SUITE 2000
FULLERTON, CA 92835
Physician Assistant (Medical)
1950 SUNNYCREST DR, SUITE 2300
FULLERTON, CA 92835
Surgery
1950 SUNNYCREST DR, SUITE 2600
FULLERTON, CA 92835
Obstetrics & Gynecology
1950 SUNNYCREST DR, SUITE 2800
FULLERTON, CA 92835
Urology
1950 SUNNYCREST DR, #3400
FULLERTON, CA 92835
Surgery
1950 SUNNYCREST DR, STE 2600
FULLERTON, CA 92835
Acupuncturist
1950 SUNNYCREST DR, SUITE 2000
FULLERTON, CA 92835

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 Ali Alavi's NPI number?

The NPI number for Ali Alavi is 1508936592. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Ali Alavi located?

Ali Alavi practices at 1950 Sunnycrest Dr #3400, Fullerton, CA 92835. The listed phone number is (714) 879-2410.

What is Ali Alavi's specialty?

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

Is Ali Alavi enrolled in Medicare?

Yes. Ali Alavi 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.

Which organizations bill Medicare for Ali Alavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Alavi reassigns Medicare benefits to 7 organizations: Marinelli & Feldman Mds (Fullerton, CA), First Choice Physician Partners (Brea, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), Yuma Regional Medical Center (Yuma, AZ), Benefis Hospitals Inc (Great Falls, MT) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ali Alavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Alavi accept?

Health plans from Molina Healthcare list Ali Alavi 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.

When was this NPI record last updated?

The NPPES record for Ali Alavi was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.