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HIBA ALI MD
NPI 1811426653
Hospitalist in Houston, TX

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6624 FANNIN ST, HOUSTON, TX 77030(713) 442-0000 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2021, Oct 27, 2020, Aug 4, 2020 and 2 more (5 updates tracked since 2017).

About Hiba Ali Md NPPES

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

HIBA ALI MD (NPI 1811426653) is an individual hospitalist provider in Houston, Texas, licensed in Texas (S6107) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Texas Medical Branch At Galveston (2017).

NPPES Registry Identity

NPI1811426653
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHIBA ALICredential: MD
Location Address6624 FANNIN STHouston, TX 77030-2312
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(713) 442-0000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateJune 3, 20215 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1811426653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · S6107
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License S6107 (TX)
6624 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 1

Medicaid415256301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, WellPoint.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

Hiba 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 ID8729403563
PECOS Enrollment IDI20200810003638
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 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.
245 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services43 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.
43 services43 patients
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.
38 services27 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.12 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.

DR. JAIME BENREY MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE 2310
HOUSTON, TX 77030
Harris County (713) 796-2668
MARISOL J SKIBIN P.T.
Physical Therapist
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
MELANIE EHNI MOUZOON MD
Pediatrics
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0000
SAMAR SHETH MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, SUITE 2320
HOUSTON, TX 77030
Harris County (832) 355-6676
FRANK TRAVIS GEROW M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
DAWN DENISE SHORT CNM
Advanced Practice Midwife
6624 FANNIN ST, SUITE 1800
HOUSTON, TX 77030
Harris County (713) 797-1144
HOUSTON HEART CLINIC
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE. 1590
HOUSTON, TX 77030
Harris County (713) 759-9901
SUSHANTH BEERAVOLU REDDY DO
Hospitalist
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0427

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 Hiba Ali's NPI number?

The NPI number for Hiba Ali is 1811426653. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Hiba Ali located?

Hiba Ali practices at 6624 Fannin St, Houston, TX 77030. The listed phone number is (713) 442-0000.

What is Hiba Ali's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hiba Ali enrolled in Medicare?

Yes. Hiba 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 Hiba Ali accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Hiba 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 Hiba Ali affiliated with any hospitals?

According to CMS data, Hiba Ali is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Hiba Ali was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.