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ZAENAB MOHAMED BUSHAALA ALI MD
NPI 1780258624
Family Medicine in Edgewood, KY

Active since May 15, 2021PECOS EnrolledAccepts Medicare Assignment
413 S LOOP RD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2024, May 17, 2021, May 15, 2021 (3 updates tracked since 2021).

About Zaenab Mohamed Bushaala Ali Md NPPES

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

ZAENAB MOHAMED BUSHAALA ALI MD (NPI 1780258624) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (59313) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1780258624
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameZAENAB MOHAMED BUSHAALA ALICredential: MD
Location Address413 S LOOP RDEdgewood, KY 41017-5446
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 301-3800
Fax(859) 301-3987
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 15, 2021
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1780258624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 59313
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
413 S LOOP RD, Edgewood, KY 41017
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-2440 · Fax (859) 301-2493

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Zaenab Mohamed Bushaala 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 ID2668857236
PECOS Enrollment IDI20240821001542
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

2

Medicare enrollment records show Zaenab Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Elizabeth Medical Center, Inc.
Same address
Family Medicine
413 S LOOP RD
Edgewood, KY 41017
  • Reassigned Medicare billing, Kentucky enrollment
  • 275 clinicians in this Medicare group
NPI 1710001185 (859) 301-3800
Summit Medical Group, Inc
4.0 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

KARL M SCHMITT M.D.
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
VICTORIA GRIFFITH WILLIAMS MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
JACLYN REPLOGLE LCSW
Social Worker
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
MARGARET RAE WOODRUFF
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
LAUREN ASHLEY LAWRENCE DO
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
TREVOR JORDAN HOFFMAN MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
ANGELA WARNING MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. NICOLE HOCKEMEYER MD
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800

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 Zaenab Ali's NPI number?

The NPI number for Zaenab Ali is 1780258624. It was assigned to this individual provider in the NPPES registry on May 15, 2021.

Where is Zaenab Ali located?

Zaenab Ali practices at 413 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Zaenab Ali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Zaenab Ali enrolled in Medicare?

Yes. Zaenab 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 Zaenab Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zaenab Ali reassigns Medicare benefits to 2 organizations: St. Elizabeth Medical Center, Inc. (Edgewood, KY) and Summit Medical Group, Inc (Erlanger, KY). 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 Zaenab Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zaenab Ali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Zaenab 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 Zaenab Ali affiliated with any hospitals?

According to CMS data, Zaenab Ali is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Zaenab Ali was last updated on August 29, 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.