SHERMEEN SUFI ALI MD
NPI 1912522566
Internal Medicine in Fort Worth, TX

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jun 10, 2020 (2 updates tracked since 2020).

About Shermeen Sufi Ali Md NPPES

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

SHERMEEN SUFI ALI MD (NPI 1912522566) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (U4734) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912522566
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHERMEEN SUFI ALICredential: MD
Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-3104
Mailing AddressUtmb Medical Education Office 301 University BlvdGalveston, TX 77555-0001
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1912522566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · U4734 Licensed in TX · BP10071286
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.
1300 W TERRELL AVE STE K230, Fort Worth, TX 76104

Other Names 1

Former Name (1)Shermeen Sufi

Secondary Practice Locations 2

Location 11301 Pennsylvania AveFort Worth, TX 76014-0001 · Phone (817) 250-4906
Location 2Utmb Medical Education Office 301 University BlvdGalveston, TX 77555-0001 · Phone (409) 772-2650

Accepted 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

Shermeen Sufi 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 ID8628490836
PECOS Enrollment IDI20230811001177
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 5

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.
424 services183 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.
73 services73 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.
41 services27 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.
22 services22 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine (Hospice and Palliative Medicine)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104

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 Shermeen Ali's NPI number?

The NPI number for Shermeen Ali is 1912522566. It was assigned to this individual provider in the NPPES registry on June 10, 2020. The provider is also known as Shermeen Sufi.

Where is Shermeen Ali located?

Shermeen Ali practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.

What is Shermeen Ali's specialty?

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

Is Shermeen Ali enrolled in Medicare?

Yes. Shermeen 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 Shermeen Ali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Shermeen 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 Shermeen Ali affiliated with any hospitals?

According to CMS data, Shermeen Ali is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Shermeen Ali was last updated on August 15, 2023. 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.