DR. ABDUL ALI M.D.
NPI 1598734121
Internal Medicine - Cardiovascular Disease in Houston, TX

Q: What is Abdul Ali's NPI number?

The NPI number for Abdul Ali is 1598734121. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Abdul Ali's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdul Ali was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 16, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

8830 LONG POINT RD, SUITE 507, HOUSTON, TX 77055(713) 464-4140(713) 464-7296 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Abdul Ali M.d. NPPES

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

DR. ABDUL ALI M.D. (NPI 1598734121) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (E6209) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1965).

NPPES Registry Identity

NPI1598734121

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. ABDUL ALICredential: M.D.

Location Address8830 LONG POINT RD, SUITE 507Houston, TX 77055-3040

Mailing Address8830 Long Point Rd, Suite 507Houston, TX 77055-3040 · (713) 464-4140 · Fax (713) 464-7296

Phone(713) 464-4140

Fax(713) 464-7296

Sole ProprietorYes

Medical School CMSOtherGraduated 1965

Enumeration DateMarch 16, 2006

Last NPPES UpdateFebruary 15, 2011

✔ NPI 1598734121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · E6209

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.

8830 LONG POINT RD, Houston, TX 77055

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Other Identifiers 3

Medicaid122523702TX

Medicare PIN83G941TX

Medicare UPINC12704TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Abdul 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 ID4385602986

PECOS Enrollment IDI20091217000682

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 15

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.

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.

2,169 services171 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

190 services161 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.

188 services144 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.

142 services131 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.

127 services65 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.

108 services73 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

55 services49 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

52 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

16 services16 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

13 services13 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Riceland Medical Center

Critical Access Hospitals · Winnie, TX

OwnershipProprietary

CMS Certification Number451328

Location538 BroadwayWinnie, TX 77665 · Chambers County

Emergency services

Altus Baytown Hospital

Acute Care Hospitals · Baytown, TX

OwnershipPhysician

CMS Certification Number670109

Location1626 W Baker RoadBaytown, TX 77521 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77055 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%1,662 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

65%1,001 patients2/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

43%101 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

17%801 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 63% · 331 patients

Patients tobacco: 57% · 331 patients

38%29 patients2/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

89%385 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

13%385 patients1/55-star benchmark: 59%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 1% · 307 patients

4%307 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

2 suppliers11 claims11 services$18.90 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$7.65 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers23 claims23 services$3.10 avg. paid by Medicare

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier14 claims14 services$2,431.31 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 17

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

MR. MOHAMMADE EBRAHIM ZAFARNIA M.D.

Internal Medicine (Gastroenterology)

8830 LONG POINT RD, SUITE 808
HOUSTON, TX 77055

Harris County (713) 465-5502

PRIMARY HEALTH NETWORK OF SOUTH TEXAS

Family Medicine

8830 LONG POINT RD, SUITE 401
HOUSTON, TX 77055

Harris County (713) 468-2358

CANADA CHIROPRACTIC, PLLC

Chiropractor

8830 LONG POINT RD, SUITE 504
HOUSTON, TX 77055

Harris County (832) 409-9940

ABIGAIL R NEIMAN MD PA

Internal Medicine (Rheumatology)

8830 LONG POINT RD, STE 105
HOUSTON, TX 77055

Harris County (713) 932-0054

TCH PEDIATRIC ASSOCIATES, INC

Pediatrics

8830 LONG POINT RD, SUITE 605
HOUSTON, TX 77055

Harris County (713) 468-4071

ANKUR D MEHTA DO PA

Physical Medicine & Rehabilitation

8830 LONG POINT RD, SUITE 502
HOUSTON, TX 77055

Harris County (832) 849-0909

WILKENFELD MEDICAL LABORATORIES, I, LTD.

Clinical Medical Laboratory

8830 LONG POINT RD, SUITE 104
HOUSTON, TX 77055

Harris County (713) 464-5326

ANKUR D MEHTA DO

Physical Medicine & Rehabilitation (Sports Medicine)

8830 LONG POINT RD, SUITE 502
HOUSTON, TX 77055

Harris County (832) 849-0909

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 Abdul Ali's NPI number?

The NPI number for Abdul Ali is 1598734121. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Abdul Ali located?

Abdul Ali practices at 8830 Long Point Rd Suite 507, Houston, TX 77055. The listed phone number is (713) 464-4140.

What is Abdul Ali's specialty?

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

Is Abdul Ali enrolled in Medicare?

Yes. Abdul 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 Abdul Ali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Abdul 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 Abdul Ali affiliated with any hospitals?

According to CMS data, Abdul Ali is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Riceland Medical Center and Altus Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Abdul Ali was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.