ZAIN ALI M.D.
NPI 1518319656
Internal Medicine - Interventional Cardiology in Fenton, MO

Q: What is Zain Ali's NPI number?

The NPI number for Zain Ali is 1518319656. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Zain Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Zain Ali was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment

1011 BOWLES AVE STE 300, FENTON, MO 63026(636) 496-5065 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2025, Jul 18, 2019, Jul 12, 2016 (3 updates tracked since 2016).

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About Zain Ali M.d. NPPES

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

ZAIN ALI M.D. (NPI 1518319656) is an individual interventional cardiology provider in Fenton, Missouri, licensed in Missouri (2025036172) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Abington.

NPPES Registry Identity

NPI1518319656

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameZAIN ALICredential: M.D.

Location Address1011 BOWLES AVE STE 300Fenton, MO 63026-2387

Mailing Address1200 Old York RdAbington, PA 19001-3720 · (215) 481-2191

Phone(636) 496-5065

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 12, 2016

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1518319656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MO · 2025036172

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD468146 (PA), MT211800 (PA)

1011 BOWLES AVE STE 300, Fenton, MO 63026

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Secondary Practice Location 1

Location 11200 Old York RdAbington, PA 19001-3720 · Phone (215) 481-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Zain 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 ID3971899584

PECOS Enrollment IDI20250924002671

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

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.

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.

28 services17 patients

Hospital Affiliations CMS Care Compare

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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Other Providers at the Same Location NPPES 12

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

DR. JEFFREY P WILSON MD

Internal Medicine (Interventional Cardiology)