DR. ZUBER SHEREFA ALI M.D.
NPI 1548536204
Internal Medicine - Cardiovascular Disease in Waukesha, WI

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-8800 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2019, Dec 11, 2018, Jun 30, 2016 (3 updates tracked since 2016).

About Dr. Zuber Sherefa Ali M.d. NPPES

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

DR. ZUBER SHEREFA ALI M.D. (NPI 1548536204) is an individual cardiovascular disease provider in Waukesha, Wisconsin, licensed in Wisconsin (61419) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1548536204
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ZUBER SHEREFA ALICredential: M.D.
Location Address725 AMERICAN AVEWaukesha, WI 53188-5031
Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 27, 2012
Last NPPES UpdateSeptember 19, 20193 updates tracked since enumeration
✔ NPI 1548536204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 61419
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 61419-20 (WI)
725 AMERICAN AVE, Waukesha, WI 53188

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. Zuber Sherefa 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 ID2860703311
PECOS Enrollment IDI20150624002198
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

2

Medicare enrollment records show Zuber Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
721 AMERICAN AVE, SUITE 310
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 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 30

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,005 services734 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.
584 services413 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
327 services326 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
194 services192 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
188 services182 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.
162 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188

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 Zuber Ali's NPI number?

The NPI number for Zuber Ali is 1548536204. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Zuber Ali located?

Zuber Ali practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-8800.

What is Zuber Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Zuber Ali enrolled in Medicare?

Yes. Zuber 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.

Which organizations bill Medicare for Zuber Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zuber Ali reassigns Medicare benefits to 2 organizations: Prohealth Medical Group Inc (Waukesha, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Zuber Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zuber Ali accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Zuber 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 Zuber Ali affiliated with any hospitals?

According to CMS data, Zuber Ali is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Zuber Ali was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.