MOHAMMED ALI MD
NPI 1811540800
Internal Medicine in Farmington, MO

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
1031 E KARSCH BLVD, FARMINGTON, MO 63640(313) 784-0429 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2024, Jul 19, 2019 (2 updates tracked since 2019).

About Mohammed Ali Md NPPES

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

MOHAMMED ALI MD (NPI 1811540800) is an individual internal medicine provider in Farmington, Missouri, licensed in Ohio (35.146528) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811540800
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMED ALICredential: MD
Location Address1031 E KARSCH BLVDFarmington, MO 63640-3404
Mailing Address1028 Wabash Ave Apt 75Farmington, MO 63640-3425 · (313) 784-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2019
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1811540800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.146528✔ Licensed in PA · MD482893✔ Licensed in WV · 33449✔ Licensed in IN · 01090854A
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.
1031 E KARSCH BLVD, Farmington, MO 63640

Accepted 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

Mohammed 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 ID5991126401
PECOS Enrollment IDI20231025002452, I20240503001574, I20240529002116
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

16

Medicare enrollment records show Mohammed Ali reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
3901 S 7TH ST
Terre Haute, IN 47802
  • Reassigned Medicare billing, Indiana enrollment
  • 228 clinicians in this Medicare group
338 mi
Internal Medicine
5971 GOLF CLUB LN
Hamilton, OH 45011
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Internal Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 204 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 clinicians in this Medicare group
Home Health
307 VERNEDALE DR STE A
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 191 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.
344 services141 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.
120 services116 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.
91 services90 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.
46 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.55
Improvement Activities40
Cost60.73

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 supplier23 claims23 services$15.05 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 supplier26 claims26 services$59.76 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 6

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

Internal Medicine
1031 E KARSCH BLVD
FARMINGTON, MO 63640
Clinic/Center (Rural Health)
1031 E KARSCH BLVD
FARMINGTON, MO 63640
Internal Medicine
1031 E KARSCH BLVD
FARMINGTON, MO 63640
Clinic/Center (Rural Health)
1031 E KARSCH BLVD
FARMINGTON, MO 63640
Nurse Practitioner (Family)
1031 E KARSCH BLVD
FARMINGTON, MO 63640
Internal Medicine
1031 E KARSCH BLVD
FARMINGTON, MO 63640

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 Mohammed Ali's NPI number?

The NPI number for Mohammed Ali is 1811540800. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Mohammed Ali located?

Mohammed Ali practices at 1031 E Karsch Blvd, Farmington, MO 63640. The listed phone number is (313) 784-0429.

What is Mohammed Ali's specialty?

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

Is Mohammed Ali enrolled in Medicare?

Yes. Mohammed 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 Mohammed Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Ali reassigns Medicare benefits to 16 organizations: Galen Inpatient Physicians PC (Terre Haute, IN), Mvhe Inc (Hamilton, OH), Hisey Physician Services, LLC (Middletown, OH), Sinclair Physician Services, LLC (Dayton, OH), Upper Valley Professional Corporation (Troy, OH) and 11 more organizations, listed in the Medicare section above. 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 Mohammed Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Ali accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, CareSource (Common Ground Healthcare) and Paramount list Mohammed 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 Mohammed Ali affiliated with any hospitals?

According to CMS data, Mohammed Ali is affiliated with Union Hospital Inc, Borgess Medical Center, Oaklawn Hospital and Roane General Hospital.

When was this NPI record last updated?

The NPPES record for Mohammed Ali was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.