DR. ZULFIQAR ALI M.D.
NPI 1558677310
Internal Medicine - Pulmonary Disease in Johnstown, PA

Q: What is Zulfiqar Ali's NPI number?

The NPI number for Zulfiqar Ali is 1558677310. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Zulfiqar Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Zulfiqar Ali was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment

1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9000 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Zulfiqar Ali M.d. NPPES

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

DR. ZULFIQAR ALI M.D. (NPI 1558677310) is an individual pulmonary disease provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD478119) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1558677310

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. ZULFIQAR ALICredential: M.D.

Location Address1086 FRANKLIN STJohnstown, PA 15905-4305

Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-9000

Phone(814) 534-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 30, 2010

Last NPPES UpdateJune 15, 2023

NPPES CertifiedJune 15, 2023

✔ NPI 1558677310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD478119

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD478119 (PA)

1086 FRANKLIN ST, Johnstown, PA 15905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. Zulfiqar 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 ID2466745930

PECOS Enrollment IDI20220716000474

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

123 services50 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

112 services104 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

107 services100 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.

93 services57 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

60 services54 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.

41 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390112

Location600 Somerset AvenueWindber, PA 15963 · Somerset County

Emergency services

Conemaugh Meyersdale Medical Center

Critical Access Hospitals · Meyersdale, PA

OwnershipProprietary

CMS Certification Number391302

Location200 Hospital DriveMeyersdale, PA 15552 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers29 claims31 services$18.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers59 claims59 services$915.07 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers62 claims67 services$107.44 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims30 services$37.20 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims660 services$4.33 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

6 suppliers30 claims1,920 services$6.49 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 20

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

MEMORIAL MEDICAL CENTER

General Acute Care Hospital (Children)

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9503

JOSEPH W HENSLEY DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

NICOLE DOLHI DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

BRADLEY STEPHEN WINEGARDNER

Surgery

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-1660

SAI HARSHA BOBBA MD

Family Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9364

AYESHA HAQ MD

Internal Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9408

CHRISTINA DAVIS PA-C

Physician Assistant (Medical)

1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905

Cambria County (814) 534-5592

MRS. JAMIE ELIZABETH OKOPAL RN, CRNA

Nurse Anesthetist, Certified Registered

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9321

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 Zulfiqar Ali's NPI number?

The NPI number for Zulfiqar Ali is 1558677310. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Zulfiqar Ali located?

Zulfiqar Ali practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9000.

What is Zulfiqar Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Zulfiqar Ali enrolled in Medicare?

Yes. Zulfiqar 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 Zulfiqar Ali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Medica list Zulfiqar 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 Zulfiqar Ali affiliated with any hospitals?

According to CMS data, Zulfiqar Ali is affiliated with Conemaugh Memorial Medical Center, Chan Soon- Shiong Medical Center At Windber and Conemaugh Meyersdale Medical Center.

When was this NPI record last updated?

The NPPES record for Zulfiqar Ali was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.