DR. OMAR AHMAD ALI DMD
NPI 1649757386
Dentist in Gibson City, IL

Q: What is Omar Ali's NPI number?

The NPI number for Omar Ali is 1649757386. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Omar Ali's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Ali was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 25, 2018PECOS Enrolled

1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-4251 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Omar Ahmad Ali Dmd NPPES

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

DR. OMAR AHMAD ALI DMD (NPI 1649757386) is an individual dentist in Gibson City, Illinois, licensed in Illinois (TBD) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Dental Medicine (2018).

NPPES Registry Identity

NPI1649757386

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. OMAR AHMAD ALICredential: DMD

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address200 Lori CtMedinah, IL 60157-9733 · (815) 519-0650

Phone(217) 784-4251

Sole ProprietorYes

Medical School CMSTufts University School Of Dental MedicineGraduated 2018

Enumeration DateJuly 25, 2018

✔ NPI 1649757386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · TBD

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1120 N MELVIN ST, Gibson City, IL 60936

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Ahmad Ali Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870076417

PECOS Enrollment IDI20260312000716

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 Reassignment

Medicare enrollment records show Omar Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Community Hospital Association

Same address

Urology

1120 N MELVIN ST
Gibson City, IL 60936

Reassigned Medicare billing, Illinois enrollment
201 clinicians in this Medicare group

NPI 1043813454 (217) 784-2212

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 60936 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

MALCOLM TAYLOR ATC

Specialist/Technologist (Athletic Trainer)