REHAN ALI MD
NPI 1770080889
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Q: What is Rehan Ali's NPI number?

The NPI number for Rehan Ali is 1770080889. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Rehan Ali's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rehan Ali was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 06, 2018PECOS EnrolledAccepts Medicare Assignment

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-8855 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rehan Ali Md NPPES

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

REHAN ALI MD (NPI 1770080889) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770080889

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameREHAN ALICredential: MD

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436

Phone(718) 226-8855

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 6, 2018

Last NPPES UpdateMay 24, 2019

✔ NPI 1770080889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 4351045462 (MI)

475 SEAVIEW AVE, Staten Island, NY 10305

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Accepted Insurance

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

Rehan 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 ID9133464829

PECOS Enrollment IDI20240812003088

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.

Hospital Affiliations CMS Care Compare

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)