SUMERA ALI M.D
NPI 1699038547
Radiology - Diagnostic Radiology in Atlanta, GA

Active since June 15, 2012PECOS Enrolled
1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-3655 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sumera Ali M.d NPPES

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

SUMERA ALI M.D (NPI 1699038547) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Georgia (94841) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699038547
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUMERA ALICredential: M.D
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address4771 Powers Park Ct NeMarietta, GA 30067-4095 · (578) 206-5860 · Fax (501) 526-6562
Sole ProprietorNo
Enumeration DateJune 15, 2012
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1699038547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 94841
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1405 CLIFTON RD NE, Atlanta, GA 30322

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

4

Medicare enrollment records show Sumera Ali reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Child & Adolescent Psychiatry
3901 MCCAIN PARK DR STE 102
North Little Rock, AR 72116
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1114255353 (Arkansas)
  • 2,038 clinicians in this Medicare group
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 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 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322

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 Sumera Ali's NPI number?

The NPI number for Sumera Ali is 1699038547. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Sumera Ali located?

Sumera Ali practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 785-3655.

What is Sumera Ali's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sumera Ali enrolled in Medicare?

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

Which organizations bill Medicare for Sumera Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumera Ali reassigns Medicare benefits to 4 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA), University Of Arkansas For Medical Sciences (North Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Sumera Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumera Ali accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Health Advantage and Octave list Sumera 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.

When was this NPI record last updated?

The NPPES record for Sumera Ali was last updated on June 26, 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.