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HIBA ALI M.D
NPI 1699036855
Internal Medicine in Toledo, OH

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
2109 HUGHES DR STE 400, TOLEDO, OH 43606(419) 291-2080 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, Nov 15, 2021, Oct 14, 2021 and 4 more (7 updates tracked since 2017).

About Hiba Ali M.d NPPES

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

HIBA ALI M.D (NPI 1699036855) is an individual internal medicine provider in Toledo, Ohio, licensed in Ohio (35.142592) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1699036855
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHIBA ALICredential: M.D
Location Address2109 HUGHES DR STE 400Toledo, OH 43606-5143
Mailing Address2213 Cherry St Unit BToledo, OH 43608-2603
Phone(419) 291-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 5, 2012
Last NPPES UpdateAugust 19, 20257 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1699036855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.142592✔ Licensed in CA · A162033✔ Licensed in NY · 286490
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 286490-1 (NY)
2109 HUGHES DR STE 400, Toledo, OH 43606
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Other Identifiers 1

Medicaid1699036855NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Hiba 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 ID3779865993
PECOS Enrollment IDI20250709002441
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

5

Medicare enrollment records show Hiba Ali reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians North Specialty Care LLC
2.5 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
NW Ohio Hospital Medicine Physicians LLC
45 mi
Emergency Medicine
1900 S MAIN ST
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
NPI 1023794377 (419) 423-4500
New York Medical Physician Associates PC
441 mi
Hospitalist
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 304 clinicians in this Medicare group
NPI 1619722147 (315) 917-9966
Maimonides Faculty Practice Plan
505 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Maimonides Medical Center Maimonides Primary Care Fpp
505 mi
Internal Medicine
1250 57TH ST
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 85 clinicians in this Medicare group
NPI 1013968593 (718) 283-7732

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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services79 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.
88 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
56 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

DR. SANTIAGO HERRERA M.D.
Student in an Organized Health Care Education/Training Program
2109 HUGHES DR STE 400
TOLEDO, OH 43606
Lucas County (419) 291-2080
PATRICK DANIEL SULLIVAN MD
Internal Medicine
2109 HUGHES DR STE 400
TOLEDO, OH 43606
Lucas County (419) 291-2088

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 Hiba Ali's NPI number?

The NPI number for Hiba Ali is 1699036855. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Hiba Ali located?

Hiba Ali practices at 2109 Hughes Dr Ste 400, Toledo, OH 43606. The listed phone number is (419) 291-2080.

What is Hiba Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hiba Ali enrolled in Medicare?

Yes. Hiba 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 Hiba Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiba Ali reassigns Medicare benefits to 5 organizations: Mercy Health Physicians North Specialty Care LLC (Toledo, OH), NW Ohio Hospital Medicine Physicians LLC (Findlay, OH), New York Medical Physician Associates PC (Utica, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Medical Center Maimonides Primary Care Fpp (Brooklyn, NY). 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 Hiba Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiba Ali accept?

Health plans from CareSource list Hiba 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 Hiba Ali affiliated with any hospitals?

According to CMS data, Hiba Ali is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Hiba Ali was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.