TABASSUM A ALI APRN
NPI 1578819884
Nurse Practitioner - Psychiatric/Mental Health in Waterbury, CT
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
Specialties & Licenses 3
Other Identifiers 14
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tabassum Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06702
- Reassigned Medicare billing, Connecticut enrollment
- 97 clinicians in this Medicare group
Waterbury, CT 06702
- Reassigned Medicare billing, Connecticut enrollment
- 18 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 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.
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.
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.
WATERBURY, CT 06702
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.
Which organizations bill Medicare for Tabassum Ali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tabassum Ali reassigns Medicare benefits to 2 organizations: Staywell Health Care, Inc. (Waterbury, CT) and Wellmore, Inc. (Waterbury, CT). 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 Tabassum 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 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.
# Tabassum A Ali, APRN · NPI 1578819884
Psychiatric/Mental Health physician in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since July 24, 2012.
## Identity
- **NPI:** 1578819884 (Entity type: Individual)
- **Enumerated:** July 24, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 005035 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 141 E MAIN ST, WATERBURY CLINICIAL SERVICES 2ND FLOOR, Waterbury, CT 06702
- **Phone:** (855) 935-5667 · **Fax:** (203) 596-0722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Staywell Health Care, Inc. (NPI 1154342335, Waterbury, CT); Wellmore, Inc. (NPI 1841379013, Waterbury, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 060669107 (CT); Other 12671467; Other 507335 (CT); and 11 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578819884) · Data from the CMS NPPES public registry.