1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Hospitalist
  6. NPI Profile

DR. MUJTABA ALI M.D.
NPI 1861764441
Hospitalist in Salt Lake City, UT

Active since January 30, 2012PECOS Enrolled
8 TH AVE & C ST, SALT LAKE CITY, UT 84143(801) 507-4384 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2017, May 10, 2016 (2 updates tracked since 2016).

About Dr. Mujtaba Ali M.d. NPPES

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

DR. MUJTABA ALI M.D. (NPI 1861764441) is an individual hospitalist provider in Salt Lake City, Utah, licensed in Utah (9431515-1205) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861764441
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MUJTABA ALICredential: M.D.
Location Address8 TH AVE & C STSalt Lake City, UT 84143-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 507-4384
Phone(801) 507-4384
Sole ProprietorNo
Enumeration DateJanuary 30, 2012
Last NPPES UpdateApril 25, 20172 updates tracked since enumeration
✔ NPI 1861764441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in UT · 9431515-1205
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 9431515-8017 (UT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8 TH AVE & C ST, Salt Lake City, UT 84143
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mujtaba Ali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mujtaba Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Straub Clinic & Hospital
2,997 mi
Multi-Specialty
888 S KING ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 664 clinicians in this Medicare group
NPI 1457306508 (808) 522-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 11

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

JOHN MONTFORD JEX APRN
Clinical Nurse Specialist (Family Health)
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-5585
LYDIA ALLRED M.S. CCC SLP
Speech-Language Pathologist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1100
MRS. JOANN WELLS STANBROUGH P.T.
Physical Therapist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-2332
JOHN ALEXANDER MANOS MD
Hospitalist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 507-4384
MS. AMANDA MARIE BUCHMULLER APRN
Nurse Practitioner (Family)
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3617
KELLI ELAINE GROOMER P.A.
Physician Assistant
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3729
INTERMOUNTAIN HEALTH CARE
General Acute Care Hospital
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1100
ALICIA BRUNNER
Physician Assistant
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1100

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 Mujtaba Ali's NPI number?

The NPI number for Mujtaba Ali is 1861764441. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Mujtaba Ali located?

Mujtaba Ali practices at 8 Th Ave & C St, Salt Lake City, UT 84143. The listed phone number is (801) 507-4384.

What is Mujtaba Ali's specialty?

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

Is Mujtaba Ali enrolled in Medicare?

Yes. Mujtaba Ali is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mujtaba Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mujtaba Ali reassigns Medicare benefits to Straub Clinic & Hospital (Honolulu, HI). The 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 Mujtaba Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mujtaba Ali was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.