BIRMAJI ALI MD
NPI 1710419254
Internal Medicine - Critical Care Medicine in Canton, GA

Q: What is Birmaji Ali's NPI number?

The NPI number for Birmaji Ali is 1710419254. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Birmaji Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Birmaji Ali was last updated on May 30, 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.

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment

450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, Apr 27, 2017 (2 updates tracked since 2017).

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About Birmaji Ali Md NPPES

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

BIRMAJI ALI MD (NPI 1710419254) is an individual critical care medicine provider in Canton, Georgia, licensed in Georgia (86160) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710419254

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameBIRMAJI ALICredential: MD

Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015

Mailing Address672 Royal Abbey DrStone Mountain, GA 30088-1816 · (678) 469-4901

Phone(770) 224-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1710419254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in GA · 86160

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Birmaji Ali Md 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 ID6103199146

PECOS Enrollment IDI20230803003486

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

73 services73 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

ERICA ADDISON AA-C

Anesthesiologist Assistant