ALI ZIA M.D.
NPI 1942676978
Hospitalist in Keene, NH

Active since August 13, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
590 COURT STREET, HOSPITAL MEDICINE, KEENE, NH 03431(603) 354-5400 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ali Zia M.d. NPPES

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

ALI ZIA M.D. (NPI 1942676978) is an individual hospitalist provider in Keene, New Hampshire, licensed in New Hampshire (18835) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1942676978
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameALI ZIACredential: M.D.
Location Address590 COURT STREET, HOSPITAL MEDICINEKeene, NH 03431
Mailing Address590 Court Street, Hospital MedicineKeene, NH 03431 · (603) 354-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 13, 2015
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1942676978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NH · 18835✔ Licensed in CT · 071051
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 18835 (NH)
590 COURT STREET, Keene, NH 03431

Accepted 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

Ali Zia M.d. 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 ID1355658931
PECOS Enrollment IDI20221101003303
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

6

Medicare enrollment records show Ali Zia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
201 CHESTNUT HILL RD
Stafford Springs, CT 06076
  • Reassigned Medicare billing, Connecticut enrollment
  • 112 clinicians in this Medicare group
Internal Medicine
71 HAYNES ST
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 130 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group
General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group

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 3

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.
455 services181 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.
140 services132 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier12 claims12 services$805.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$114.72 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 20

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

Nurse Practitioner (Family)
590 COURT STREET, FAMILY MEDICINE
KEENE, NH 03431
Physician Assistant
590 COURT STREET, DARTMOUTH HITCHCOCK - ORTHOPAEDICS
KEENE, NH 03431
Obstetrics & Gynecology
590 COURT STREET, OBSTETRICS & GYNECOLOGY
KEENE, NH 03431
Nurse Practitioner (Family)
590 COURT STREET, FAMILY MEDICINE
KEENE, NH 03431
Hospitalist
590 COURT STREET, HOSPITAL MEDICINE
KEENE, NH 03431
Nurse Practitioner (Family)
590 COURT STREET, FAMILY MEDICINE
KEENE, NH 03431
Physician Assistant
590 COURT STREET
KEENE, NH 03431
Orthopaedic Surgery
590 COURT STREET
KEENE, NH 03431

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 Ali Zia's NPI number?

The NPI number for Ali Zia is 1942676978. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Ali Zia located?

Ali Zia practices at 590 Court Street Hospital Medicine, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Ali Zia's specialty?

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

Is Ali Zia enrolled in Medicare?

Yes. Ali Zia 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 Ali Zia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Zia reassigns Medicare benefits to 6 organizations: Galen Inpatient Physicians PC (Stafford Springs, CT), Hospitalist Medicine Physicians Of Connecticut, LLC (Manchester, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), The William W Backus Hospital (Norwich, CT) and 1 more organization, listed in the Medicare section above. 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 Ali Zia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Zia accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Ali Zia 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 Ali Zia was last updated on March 22, 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.