MUHAMMAD ALI MD
NPI 1790755809
Internal Medicine in Gainesville, FL

Active since January 23, 2006PECOS Enrolled
90.42/100
CMS Quality Rating
4343 W NEWBERRY RD, SUITE 13, GAINESVILLE, FL 32607(352) 332-7770(352) 332-1119 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Muhammad Ali Md NPPES

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

MUHAMMAD ALI MD (NPI 1790755809) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME69079) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1790755809
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD ALICredential: MD
Location Address4343 W NEWBERRY RD, SUITE 13Gainesville, FL 32607-2817
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Fax(352) 332-1119
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 8, 2009
NPI 1790755809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME69079
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4343 W NEWBERRY RD, Gainesville, FL 32607

Other Identifiers 2

Medicare UPING17765FL
Medicare ID-Type Unspecified27706YFL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Muhammad Ali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183601644
PECOS Enrollment IDI20040701001346
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 25

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.
952 services289 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
301 services178 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.
199 services184 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.
153 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services73 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
98 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.1
Promoting Interoperability86
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%22 patients
Breast Cancer Screening
2%86 patients1/55-star benchmark: 93%
Cervical Cancer Screening
11%75 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%20 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
9%266 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
86%162 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
33%91 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%90 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,256 patients4/55-star benchmark: 100%
e-Prescribing
100%504 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
92%191 patients4/55-star benchmark: 100%
HIV Screening
0%275 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
57%451 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
22%388 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%468 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 59% · 449 patients
Patients screened: 65% · 449 patients
28%40 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%234 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%282 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
78%126 patients4/55-star benchmark: 100%
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers32 claims91 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims15 services$1.00 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 20

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

Massage Therapist
4343 W NEWBERRY RD, STE #4
GAINESVILLE, FL 32607
Physician Assistant
4343 W NEWBERRY RD, SUITE 10
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 12
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 8
GAINESVILLE, FL 32607
Obstetrics & Gynecology (Gynecology)
4343 W NEWBERRY RD, SUITE 16
GAINESVILLE, FL 32607
Hospitalist
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Family Medicine
4343 W NEWBERRY RD
GAINESVILLE, FL 32607

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 Muhammad Ali's NPI number?

The NPI number for Muhammad Ali is 1790755809. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Muhammad Ali located?

Muhammad Ali practices at 4343 W Newberry Rd Suite 13, Gainesville, FL 32607. The listed phone number is (352) 332-7770.

What is Muhammad Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Muhammad Ali enrolled in Medicare?

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

What insurance does Muhammad Ali accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Muhammad 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 Muhammad Ali affiliated with any hospitals?

According to CMS data, Muhammad Ali is affiliated with Uf Health Shands Hospital, Hca Florida North Florida Hospital and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Muhammad Ali was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.