Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALI SULEIMAN ELFANDI M.D
NPI 1669816336
Internal Medicine - Interventional Cardiology in Springfield, MA

Q: What is Ali Elfandi's NPI number?

The NPI number for Ali Elfandi is 1669816336. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Q: What is Ali Elfandi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Ali Elfandi was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 April 24, 2013PECOS Enrolled

759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Aug 25, 2026, Aug 5, 2020 and 3 more (6 updates tracked since 2018).

On this page

About Ali Suleiman Elfandi M.d NPPES

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

ALI SULEIMAN ELFANDI M.D (NPI 1669816336) is an individual interventional cardiology provider in Springfield, Massachusetts, licensed in Kentucky (54148) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669816336

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameALI SULEIMAN ELFANDICredential: M.D

Location Address759 CHESTNUT STSpringfield, MA 01199-3533

Mailing AddressPo Box 936London, KY 40743-0936 · Fax (606) 330-7825

Phone(413) 794-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 24, 2013

Last NPPES UpdateSeptember 23, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1669816336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in KY · 54148✔ Licensed in TX · W3673✔ Licensed in KY · TP093✔ Licensed in WI · 14907

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09840100 (NJ)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License TP093 (KY), W3673 (TX), 277788 (MA), 54148 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

759 CHESTNUT ST, Springfield, MA 01199

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Secondary Practice Locations 2

Location 13003 University DrMarinette, WI 54143-4110 · Phone (715) 735-4200 · Fax (715) 735-8019

Location 21401 Harrodsburg Rd Ste A300Lexington, KY 40504-3787 · Phone (859) 276-4429 · Fax (859) 276-5919

Other Identifiers 1

Medicaid100413511WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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)

Ali Suleiman Elfandi M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991059479

PECOS Enrollment IDI20200604001476

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

Medicare enrollment records show Ali Elfandi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hudson MD Group

111 mi

Family Medicine

464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632

Reassigned Medicare billing, New Jersey enrollment
155 clinicians in this Medicare group

NPI 1497301998 (201) 503-0828

Ccmma Nj LLC

118 mi

Critical Care Medicine

350 BOULEVARD
Passaic, NJ 07055

Reassigned Medicare billing, New Jersey enrollment
51 clinicians in this Medicare group

NPI 1124543095 (973) 365-4300

Ccmma Tx PLLC

125 mi

Anesthesiology

2 PARK AVE STE 2039
New York, NY 10016

Reassigned Medicare billing, Texas enrollment
62 clinicians in this Medicare group

NPI 1841829819 (845) 702-2711

Internal Medicine Of Morris County LLC

134 mi

Internal Medicine

195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803

Reassigned Medicare billing, New Jersey enrollment
127 clinicians in this Medicare group

NPI 1568570489 (973) 366-6060

Baptist Health Medical Group Inc

692 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

Aurora Medical Group, Inc.

775 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

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.

452 services404 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.

277 services273 patients

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.

223 services91 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.

133 services128 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

87 services76 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

66 services66 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.

43 services36 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.

37 services23 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.

28 services26 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

23 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services23 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

21 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

18 services18 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

15 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

DENNIS ZAMBRANO

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

CHARLES E BROWN

Nurse Anesthetist, Certified Registered

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3520

RAISA KHAN

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

VICTORIA YOUNES

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (418) 794-0000

MR. ROBERT J RUSSELL PCNS

Clinical Nurse Specialist (Psychiatric/Mental Health)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3376

DR. BENJAMIN J BARNES MD

Psychiatry & Neurology (Neurology)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-4440

BAYSTATE MEDICAL CENTER INC

Pharmacy (Community/Retail Pharmacy)

759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199

Hampden County (413) 794-3291

JEFFREY WALBRIDGE DO

Pediatrics

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

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 Ali Elfandi's NPI number?

The NPI number for Ali Elfandi is 1669816336. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Ali Elfandi located?

Ali Elfandi practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Ali Elfandi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ali Elfandi enrolled in Medicare?

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

Which organizations bill Medicare for Ali Elfandi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Elfandi reassigns Medicare benefits to 6 organizations: Hudson MD Group (Englewood Cliffs, NJ), Ccmma Nj LLC (Passaic, NJ), Ccmma Tx PLLC (New York, NY), Internal Medicine Of Morris County LLC (Mine Hill, NJ), Baptist Health Medical Group Inc (Lexington, KY) and 1 more organization, listed in the Medicare section above. 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 Ali Elfandi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Elfandi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 1 other insurer list Ali Elfandi 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 Ali Elfandi affiliated with any hospitals?

According to CMS data, Ali Elfandi is affiliated with Saint Joseph London and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Ali Elfandi was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.