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TABASSUM A ALI APRN
NPI 1578819884
Nurse Practitioner - Psychiatric/Mental Health in Waterbury, CT

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
141 E MAIN ST, WATERBURY CLINICIAL SERVICES 2ND FLOOR, WATERBURY, CT 06702(855) 935-5667(203) 596-0722 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, May 18, 2018, May 13, 2016 and 1 more (4 updates tracked since 2015).

About Tabassum A Ali Aprn NPPES

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

TABASSUM A ALI APRN (NPI 1578819884) is an individual psychiatric/mental health provider in Waterbury, Connecticut, licensed in Connecticut (005035) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2012).

NPPES Registry Identity

NPI1578819884
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTABASSUM A ALICredential: APRN
Location Address141 E MAIN ST, WATERBURY CLINICIAL SERVICES 2ND FLOORWaterbury, CT 06702
Mailing Address141 E Main St, 4th Floor AdministationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Phone(855) 935-5667
Fax(203) 596-0722
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2012
Enumeration DateJuly 24, 2012
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
✔ NPI 1578819884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 005035
Also ListedRegistered NurseTaxonomy 163W00000X · License 98808 (CT)
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License ANCC2012007952 (CT)
141 E MAIN ST, Waterbury, CT 06702
Open in Google Maps ↗

Other Identifiers 14

Other060669107CT · Ubh-united Behavioral Health Network Wellmore Grp/facility
Other12671467Caqh
Other507335CT · Mhn/managed Health Network
OtherCSP.0053391CT · Controlled Substance License
Other4853955CT · Cigna Behavioral Health
Other9777891CT · Aetna Behavioral Health
Other060669107CT · Hct-healthy Ct Wellmore Grp/facility Contract
Other060669107CT · Ubh-united Healthcare Wellmore Grp/facility
Other507335CT · Tricare North
Other060669107CT · Anthem Bcbs Of Ct Behavioral Health-wellmore Grp/facility
Medicaid008042033CT
OtherD339209 WATERBURYCT · Value Options/beacon Health Strategies
Other060669107CT · Ubh-oxford Health/liberty Grp/facility
OtherCSP.0053391CT · Controlled Substance Registration For Practitioner

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

Tabassum A Ali Aprn 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 ID3274830435
PECOS Enrollment IDI20160401001993
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

MYCO FOY MS
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
DANIELLE DAVENPORT BA
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
JACQUELINE HOFLER
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
FATOU K TOURE
Social Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
MARDEA ZOR MSW
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
KEMAR BAILEY BA
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 575-0466
ERIN HERB
Student in an Organized Health Care Education/Training Program
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
SUSAN BROADUS
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000

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 Tabassum Ali's NPI number?

The NPI number for Tabassum Ali is 1578819884. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Tabassum Ali located?

Tabassum Ali practices at 141 E Main St Waterbury Clinicial Services 2nd Floor, Waterbury, CT 06702. The listed phone number is (855) 935-5667.

What is Tabassum Ali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tabassum Ali enrolled in Medicare?

Yes. Tabassum 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.

When was this NPI record last updated?

The NPPES record for Tabassum Ali was last updated on March 7, 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.