1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Internal Medicine
  6. NPI Profile

DR. SOPHIA ALI MD
NPI 1750641007
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baltimore, MD

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment
22 SOUTH GREENE STREET, BALTIMORE, MD 21201(443) 682-6800 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2021, Jul 12, 2019, Feb 21, 2018 and 1 more (4 updates tracked since 2015).

About Dr. Sophia Ali Md NPPES

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

DR. SOPHIA ALI MD (NPI 1750641007) is an individual endocrinology, diabetes & metabolism provider in Baltimore, Maryland, licensed in Ohio (35.132479) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750641007
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SOPHIA ALICredential: MD
Location Address22 SOUTH GREENE STREETBaltimore, MD 21201
Mailing Address4510 Dorr St # Ms 840Toledo, OH 43615-4040 · (567) 420-1600 · Fax (567) 420-1633
Phone(443) 682-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 21, 2012
Last NPPES UpdateFebruary 26, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1750641007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 35.132479
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
22 SOUTH GREENE STREET, Baltimore, MD 21201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11325 Conference DrToledo, OH 43614-8009 · Phone (419) 383-6644 · Fax (419) 383-2023
Location 22100 W Central Ave Fl 2Toledo, OH 43606-3800 · Phone (567) 420-1600 · Fax (567) 420-1630

Other Identifiers 2

Medicaid0264569OH
Medicaid764906100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, CareSource.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

Dr. Sophia 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 ID3971805748
PECOS Enrollment IDI20231220002351
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 4

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 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.
71 services26 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.
21 services21 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.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

University Of MD Medical Center Midtown Campus

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210038
Location827 Linden AvenueBaltimore, MD 21201 · Baltimore City County
Emergency services

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%857 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%131 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%324 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%324 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%324 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%324 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers18 claims18 services$199.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MR. ABDELRAHMAN ABDALLA M.D.
Student in an Organized Health Care Education/Training Program
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-7399
UNIVERSITY OF MARYLAND PHYSICIANS P.A.
Internal Medicine (Cardiovascular Disease)
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-5296
BENEDICTO JARDINICO RAMOS CRNP
Nurse Practitioner
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-9595
UNIVERSITY OF MARYLAND PEDIATRIC ASSOC PA
Pediatrics
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 706-5181
BURUJ IBRAHIM A. ZAIDAN M.B.B.S.
Student in an Organized Health Care Education/Training Program
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-1142
AMANDA PAIGE SWERDLOFF CRNP
Nurse Practitioner (Acute Care)
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-5911
FERAS AHMED ASIRI
Student in an Organized Health Care Education/Training Program
22 SOUTH GREENE STREET, ROOM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
KINJAL SETHURAMAN MD,
Emergency Medicine
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Baltimore City (410) 328-6704

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 Sophia Ali's NPI number?

The NPI number for Sophia Ali is 1750641007. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Sophia Ali located?

Sophia Ali practices at 22 South Greene Street, Baltimore, MD 21201. The listed phone number is (443) 682-6800.

What is Sophia Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sophia Ali enrolled in Medicare?

Yes. Sophia 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.

What insurance does Sophia Ali accept?

Health plans from AmeriHealth Caritas Next and CareSource list Sophia 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 Sophia Ali affiliated with any hospitals?

According to CMS data, Sophia Ali is affiliated with University Of Maryland Medical Center, University Of MD Medical Center Midtown Campus and Umd Rehabilitation & Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for Sophia Ali was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.