DR. AILIA KARAMAT ALI MD
NPI 1851888317
Internal Medicine - Rheumatology in Dyer, IN

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
919 MAIN ST STE 201, DYER, IN 46311(219) 922-3002(219) 922-3003 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, May 30, 2023, Nov 8, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Ailia Karamat Ali Md NPPES

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

DR. AILIA KARAMAT ALI MD (NPI 1851888317) is an individual rheumatology provider in Dyer, Indiana, licensed in Indiana (01096765A) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851888317
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. AILIA KARAMAT ALICredential: MD
Location Address919 MAIN ST STE 201Dyer, IN 46311-3717
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 922-3003
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2018
Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1851888317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in IN · 01096765A
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01096765A (IN), 036.163853 (IL), 90028 (GA)
919 MAIN ST STE 201, Dyer, IN 46311

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

Dr. Ailia Karamat 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 ID2264761287
PECOS Enrollment IDI20250725000480
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.

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46311 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$916.31 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 7

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

Physician Assistant
919 MAIN ST STE 201
DYER, IN 46311
Internal Medicine
919 MAIN ST STE 201
DYER, IN 46311
Internal Medicine (Rheumatology)
919 MAIN ST STE 201
DYER, IN 46311
Internal Medicine (Rheumatology)
919 MAIN ST STE 201
DYER, IN 46311
Dermatology
919 MAIN ST STE 201
DYER, IN 46311
Internal Medicine (Rheumatology)
919 MAIN ST STE 201
DYER, IN 46311
Internal Medicine (Rheumatology)
919 MAIN ST STE 201
DYER, IN 46311

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 Ailia Ali's NPI number?

The NPI number for Ailia Ali is 1851888317. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Ailia Ali located?

Ailia Ali practices at 919 Main St Ste 201, Dyer, IN 46311. The listed phone number is (219) 922-3002.

What is Ailia Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ailia Ali enrolled in Medicare?

Yes. Ailia 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.

Is Ailia Ali affiliated with any hospitals?

According to CMS data, Ailia Ali is affiliated with Franciscan Health Michigan City, Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Ailia Ali was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.