DR. SHAHEDA ALI MD NPI 1801019971

Internal Medicine in Plainfield, NJ

NPI 1801019971 Individual Female Internal Medicine PECOS Enrolled Medicare Quality Reporting

About SHAHEDA ALI

Shaheda Ali is an internal medicine provider established in Plainfield, New Jersey and her medical specialization is internal medicine. The NPI number of Shaheda Ali is 1801019971 and was assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X with license number 25MA05920400 (NJ). The provider is registered as an individual and her NPI record was last updated 9 years ago.

An internist like Dr. Shaheda Ali Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Shaheda Ali is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Shaheda Ali is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, implementation of medication management practice improvements, preventive care and screening: body mass index (bmi) screening and follow-up plan and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1801019971

Provider NameDR. SHAHEDA ALI MD
Provider Location Address1700 MYRTLE AVE PLAINFIELD, NJ 07063
Provider Mailing Address1700 MYRTLE AVE PLAINFIELD, NJ 07063
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-10-2007
Last Update Date03-06-2013


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.25MA05920400
License StateNJ
Taxonomy DescriptionA 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.

Business Address

DR. SHAHEDA ALI MD
1700 MYRTLE AVE
PLAINFIELD, NJ
ZIP 07063
Phone: (908) 753-6401
Fax: (908) 226-6743

Get Directions


Mailing Address

DR. SHAHEDA ALI MD
1700 MYRTLE AVE
PLAINFIELD, NJ
ZIP 07063
Phone: (908) 753-6401
Fax: (908) 226-6743



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Colorectal Cancer Screening 15% 211
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 1% 93
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 52% 583
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F62711MEDICARE UPIN (02)NJ
25MA05920400OTHER (01)NJ
D06236700OTHER (01)NJ
BA8578796OTHER (01)NJ

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205845039DR. SUSAN WALSH MD
Individual
Internal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1568574051 CHIA-CHANG WANG
Individual
Dentist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1831279934MS. GAIL ROBYN FISHBEIN R.D.H.
Individual
Dental Hygienist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1427110832 JOHN MYSHKOFF
Individual
Dentist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1396956017 CAROLYN LA-VERNE GREENE CNM
Individual
Midwife1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(190) 875-3640
1629255666DR. LISA HAUER DPM
Individual
Podiatrist (Foot & Ankle Surgery)1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1073786737 JOSEFINA GREGORY ADV. PRACTICE RN
Individual
Nurse Practitioner (Pediatrics)1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1932142775 SEBIKA BASU MD
Individual
Pediatrics1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1154357101 GOVIDAMMAL SUBRAMANIAN MD
Individual
Pediatrics1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1871503615DR. MARGARET MURRAY-SOBERS DMD
Individual
Dentist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1194735969DR. HARSHA TRIPATHI MD
Individual
Internal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1194736900 LAURA MARTIN
Individual
Advanced Practice Midwife1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1104938687 NNEKA EMEKEKWUE
Individual
Dentist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1912098740DR. RICHARD SKJEVELAND D.D.S
Individual
Dentist (General Practice)1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1225174527 MARIETA JONES CMN
Individual
Midwife1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1326212531DR. SOAD G GUIRGUIS M.D.
Individual
General Practice1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1215193248 TRACI MORRIS CNM
Individual
Advanced Practice Midwife1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1053548412DR. BARBARA DURANDIS DDS
Individual
Dentist1700 MYRTLE AVE 58
PLAINFIELD, NJ 07063
(908) 753-6401
1114233194DR. TEJAL RANA O.D
Individual
Optometrist1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
1881968261DR. GENEVIEVE NWIGWE M.D
Individual
Internal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.