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TAREK ALI MBBS
NPI 1952857682
Psychiatry & Neurology - Neurology in Lexington, KY

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE, STE B101, LEXINGTON, KY 40536(859) 323-5661(859) 323-5943 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2022, Jun 10, 2021, Jul 9, 2017 and 1 more (4 updates tracked since 2016).

About Tarek Ali Mbbs NPPES

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

TAREK ALI MBBS (NPI 1952857682) is an individual neurology provider in Lexington, Kentucky, licensed in Kentucky (53976) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1952857682
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTAREK ALICredential: MBBS
Location Address740 S LIMESTONE, STE B101Lexington, KY 40536
Mailing Address740 S Limestone St Rm L-445Lexington, KY 40536-0293 · (859) 218-5038
Phone(859) 323-5661
Fax(859) 323-5943
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 1, 2016
Last NPPES UpdateMay 2, 20224 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1952857682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in KY · 53976✔ Licensed in KY · R3998
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
740 S LIMESTONE, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 1University of Kentucky, 800 Rose StreetLexington, KY 40536-0293 · Phone (859) 323-6762

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Tarek Ali Mbbs 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 ID3577839414
PECOS Enrollment IDI20210715003155
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 Tarek Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Kentucky Medical Services Foundation, Inc
4.4 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Rockcastle County Hospital, Inc.
45 mi
Rural Health
46 WEST MAIN STR.
Brodhead, KY 40409
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1295275972 (606) 758-4748

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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services62 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
68 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 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.
20 services15 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

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.

DR. ELIZABETH BROWN AUTRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-2509
KHALID HAIKAL DO
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
MARK A ETSCHEIDT PHD
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL HAN YOUNG MD
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5544
MR. DAVID ANTHONY BRAJUHA ATC
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Fayette County (859) 323-5533
MS. MARGARET GRACE AU MBE, MS, CGC
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-1795
ALEXANDRIA DULAY
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-8992
KITTYE R ROBERTS ARNP
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5981

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 Tarek Ali's NPI number?

The NPI number for Tarek Ali is 1952857682. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Tarek Ali located?

Tarek Ali practices at 740 S Limestone Ste B101, Lexington, KY 40536. The listed phone number is (859) 323-5661.

What is Tarek Ali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tarek Ali enrolled in Medicare?

Yes. Tarek 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 Tarek Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarek Ali reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Rockcastle County Hospital, Inc. (Brodhead, 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 Tarek Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarek Ali accept?

Health plans from Anthem Blue Cross and Blue Shield list Tarek 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 Tarek Ali affiliated with any hospitals?

According to CMS data, Tarek Ali is affiliated with University Of Kentucky Hospital, Rockcastle County Hospital, Inc. and Frankfort Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tarek Ali was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.