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MAHAM ALI MD
NPI 1821640525
Internal Medicine - Nephrology in Shelby, NC

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
1019 N LAFAYETTE ST STE 1, SHELBY, NC 28150(704) 487-9766 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Jul 12, 2019 (2 updates tracked since 2019).

About Maham Ali Md NPPES

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

MAHAM ALI MD (NPI 1821640525) is an individual nephrology provider in Shelby, North Carolina, licensed in North Carolina (2024-01270) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1821640525
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMAHAM ALICredential: MD
Location Address1019 N LAFAYETTE ST STE 1Shelby, NC 28150-3746
Mailing AddressG3230 Beecher Rd Ste 2Flint, MI 48532-3604 · (810) 342-5800 · Fax (810) 342-5810
Phone(704) 487-9766
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2019
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1821640525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 2024-01270
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351044936 (MI)
1019 N LAFAYETTE ST STE 1, Shelby, NC 28150
Open in Google Maps ↗

Secondary Practice Location 1

Location 1G3230 Beecher Rd Ste 2Flint, MI 48532-3604 · Phone (810) 342-5800 · Fax (810) 342-5810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Maham 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 ID2365778552
PECOS Enrollment IDI20240820000374
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 6

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.
129 services37 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.
117 services105 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
31 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

SANDRA GABRIELA CARIAS ZUNIGA MD
Internal Medicine (Nephrology)
1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150
Cleveland County (704) 487-9766
JOSE DANIEL MENA PASQUEL MD
Internal Medicine (Nephrology)
1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150
Cleveland County (704) 487-9766
VIJAYA CHELIKANI MD
Internal Medicine (Nephrology)
1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150
Cleveland County (704) 481-7904

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 Maham Ali's NPI number?

The NPI number for Maham Ali is 1821640525. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Maham Ali located?

Maham Ali practices at 1019 N Lafayette St Ste 1, Shelby, NC 28150. The listed phone number is (704) 487-9766.

What is Maham Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Maham Ali enrolled in Medicare?

Yes. Maham 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 Maham Ali accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Maham 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 Maham Ali affiliated with any hospitals?

According to CMS data, Maham Ali is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Maham Ali was last updated on June 18, 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.