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RIZWAN ALI MD
NPI 1871662684
Psychiatry & Neurology - Psychiatry in Harrodsburg, KY

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
60.28/100
CMS Quality Rating
124 E OFFICE ST, HARRODSBURG, KY 40330(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rizwan Ali Md NPPES

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

RIZWAN ALI MD (NPI 1871662684) is an individual psychiatry provider in Harrodsburg, Kentucky, licensed in Kentucky (32799) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1871662684
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRIZWAN ALICredential: MD
Location Address124 E OFFICE STHarrodsburg, KY 40330-1606
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 778-8539
Phone(859) 253-1686
Fax(859) 254-2743
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 7, 2006
Last NPPES UpdateNovember 9, 2015
✔ NPI 1871662684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 32799
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
124 E OFFICE ST, Harrodsburg, KY 40330
Open in Google Maps ↗

Other Identifiers 12

Medicare ID-Type Unspecified0045371KY · Medicare
Medicare ID-Type Unspecified0331713KY · Medicare
Medicaid30615058KY
Medicare ID-Type Unspecified3319KY · Medicare
Medicare ID-Type Unspecified0331014KY · Medicare
Medicare ID-Type Unspecified0406209KY · Medicare
Medicare ID-Type Unspecified260045908KY · Medicare
Medicare ID-Type Unspecified0575125KY · Medicare
Medicare ID-Type Unspecified0331922KY · Medicare
Medicare ID-Type Unspecified0331217KY · Medicare
Medicare ID-Type Unspecified0331315KY · Medicare
Medicare UPING51553KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Rizwan 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 ID9335053933
PECOS Enrollment IDI20110211000463
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

3

Medicare enrollment records show Rizwan Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Vista Of The Bluegrass Inc
Same address
Mental Health (Including Community Mental Health Center)
124 E OFFICE ST
Harrodsburg, KY 40330
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
NPI 1366482242 (859) 253-1686
Comprehensive Behavior Inc Psc
0.4 mi
Psychiatry
464 LINDEN AVE
Harrodsburg, KY 40330
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1790080802 (859) 733-5842
Baptist Health Medical Group Inc
22 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370

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

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.
30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40330 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 14

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

MRS. LEIGH S DUNN LCSW
Social Worker
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
MRS. DEONNA D SERRANO BA
Counselor (Mental Health)
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
ANGELA R TUCKER LCSW
Social Worker
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
MISS SARAH K YOUNG MS
Counselor (Mental Health)
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
NEW VISTA OF THE BLUEGRASS INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
LINDA F HAWKINS LCSW, MFT
Social Worker
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
MISS ASHLEY N SALSMAN MSW/CSW
Social Worker
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686
MR. WESLEY A DENHAM MA, PE
Counselor (Professional)
124 E OFFICE ST
HARRODSBURG, KY 40330
Mercer County (859) 253-1686

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 Rizwan Ali's NPI number?

The NPI number for Rizwan Ali is 1871662684. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Rizwan Ali located?

Rizwan Ali practices at 124 E Office St, Harrodsburg, KY 40330. The listed phone number is (859) 253-1686.

What is Rizwan Ali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rizwan Ali enrolled in Medicare?

Yes. Rizwan 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 Rizwan Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rizwan Ali reassigns Medicare benefits to 3 organizations: New Vista Of The Bluegrass Inc (Harrodsburg, KY), Comprehensive Behavior Inc Psc (Harrodsburg, KY) and Baptist Health Medical Group Inc (Nicholasville, KY). 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 Rizwan Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rizwan Ali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Rizwan 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.

When was this NPI record last updated?

The NPPES record for Rizwan Ali was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.