MR. OMAR ALI MD
NPI 1568402188
Pediatrics - Pediatric Endocrinology in Madera, CA

Active since June 08, 2006PECOS Enrolled
9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 93636(559) 353-8700 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Omar Ali Md NPPES

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

MR. OMAR ALI MD (NPI 1568402188) is an individual pediatric endocrinology provider in Madera, California, licensed in California (C51061) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1568402188
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameMR. OMAR ALICredential: MD
Location Address9300 VALLEY CHILDRENS PL # SC05Madera, CA 93636-8761
Mailing Address9000 W Wisconsin Ave, Pediatric EndocrinologyMilwaukee, WI 53226-4874 · (414) 266-6750 · Fax (414) 266-6749
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1568402188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in CA · C51061✔ Licensed in WI · 48795
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
9300 VALLEY CHILDRENS PL # SC05, Madera, CA 93636

Secondary Practice Location 1

Location 19000 W Wisconsin Ave, Pediatric EndocrinologyMilwaukee, WI 53226-4874 · Phone (414) 266-6750 · Fax (414) 266-6749

Other Identifiers 3

Medicaid1568402188WI
Medicaid34815900WI
Medicaid1568402188CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Omar Ali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Omar Ali reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
Clinic/Center
110 KING STREET
Fayette, IA 52142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93636 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%131 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.

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.

Pediatrics
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Plastic Surgery
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Pediatrics
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Pediatrics (Neonatal-Perinatal Medicine)
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Pathology (Anatomic Pathology & Clinical Pathology)
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Anesthesiology (Pediatric Anesthesiology)
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Pediatrics (Pediatric Cardiology)
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636
Emergency Medicine (Pediatric Emergency Medicine)
9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636

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 Omar Ali's NPI number?

The NPI number for Omar Ali is 1568402188. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Omar Ali located?

Omar Ali practices at 9300 Valley Childrens Pl # Sc05, Madera, CA 93636. The listed phone number is (559) 353-8700.

What is Omar Ali's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Omar Ali enrolled in Medicare?

Yes. Omar Ali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omar Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ali reassigns Medicare benefits to 5 organizations: Reedley Community Hospital (Reedley, CA), Valley Children's Medical Group (Modesto, CA), Gundersen Clinic, Ltd. (Fayette, IA), Gundersen Lutheran Medical Center, Inc (La Crosse, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, 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 Omar Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omar Ali was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.