OMAR A ALI MD
NPI 1972527059
Internal Medicine - Interventional Cardiology in Winchester, VA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601(540) 662-0306(540) 542-1843 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2020, Jan 28, 2016, Nov 24, 2015 (3 updates tracked since 2015).

About Omar A Ali Md NPPES

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

OMAR A ALI MD (NPI 1972527059) is an individual interventional cardiology provider in Winchester, Virginia, licensed in Virginia (0101258918) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972527059
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameOMAR A ALICredential: MD
Location Address190 CAMPUS BLVD, SUITE 201Winchester, VA 22601-2872
Mailing Address136 Linden Dr, Suite 104Winchester, VA 22601-6900 · (540) 678-3588 · Fax (540) 678-9025
Fax(540) 542-1843
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 14, 20203 updates tracked since enumeration
✔ NPI 1972527059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in VA · 0101258918
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036111040 (IL)
190 CAMPUS BLVD, Winchester, VA 22601

Secondary Practice Locations 3

Location 1120 Campus Drive, Suite 201Martinsburg, WV 25404 · Phone (304) 264-9485 · Fax (304) 264-9987
Location 21870 Amherst St Ste 100AndWinchester, VA 22601-2873 · Phone (540) 662-0306 · Fax (855) 264-2066
Location 31870 Amherst St Ste 310Winchester, VA 22601-2873 · Phone (540) 536-6721 · Fax (540) 536-6724

Other Identifiers 1

OtherP01570443VA · Rr Medicare

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

Omar A 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 ID5799750626
PECOS Enrollment IDI20201228002456
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

10

Medicare enrollment records show Omar Ali reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
190 CAMPUS BLVD STE 210
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Pulmonary Disease
190 CAMPUS BLVD STE 201
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Rural Health
4803 GERRARDSTOWN RD
Inwood, WV 25428
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
Family Medicine
33699 OLD VALLEY PIKE STE D
Strasburg, VA 22657
  • Reassigned Medicare billing, Virginia enrollment
  • 416 clinicians in this Medicare group
Rural Health
67 RIVERTON COMMONS DR
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
Rural Health
625 VIRGINIA AVE
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
General Practice
703 N MCEWAN ST
Clare, MI 48617
  • Reassigned Medicare billing, Michigan enrollment
  • 159 clinicians in this Medicare group
Family Medicine
2463 S M 30
West Branch, MI 48661
  • Reassigned Medicare billing, Michigan enrollment
  • 179 clinicians in this Medicare group
Emergency Medicine
1501 W CHISHOLM ST
Alpena, MI 49707
  • Reassigned Medicare billing, Michigan enrollment
  • 219 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 18

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
140 services120 patients
Insertion of tube in coronary artery for diagnosis with review by radiologist 93454
This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
83 services83 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
68 services68 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
58 services58 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
48 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

Pharmacist
190 CAMPUS BLVD
WINCHESTER, VA 22601
Physician Assistant
190 CAMPUS BLVD, SUITE 200
WINCHESTER, VA 22601
Pediatrics
190 CAMPUS BLVD, SUITE 400
WINCHESTER, VA 22601
Pediatrics
190 CAMPUS BLVD, SUITE 400
WINCHESTER, VA 22601
Physician Assistant
190 CAMPUS BLVD
WINCHESTER, VA 22601
Pediatrics
190 CAMPUS BLVD, SUITE 400
WINCHESTER, VA 22601
Pediatrics
190 CAMPUS BLVD, SUITE 400
WINCHESTER, VA 22601
Clinical Medical Laboratory
190 CAMPUS BLVD, SUITE 400
WINCHESTER, VA 22601

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 Omar Ali's NPI number?

The NPI number for Omar Ali is 1972527059. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Omar Ali located?

Omar Ali practices at 190 Campus Blvd Suite 201, Winchester, VA 22601. The listed phone number is (540) 662-0306.

What is Omar Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Omar Ali enrolled in Medicare?

Yes. Omar 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 Omar Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ali reassigns Medicare benefits to 10 organizations: Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA), East Mountain Health Physicians, Inc. (Inwood, WV), Shenandoah Memorial Hospital, Inc. (Strasburg, VA), Warren Memorial Hospital, Inc. (Front Royal, VA) and 5 more organizations, 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 Omar Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Ali accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Omar 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 Omar Ali affiliated with any hospitals?

According to CMS data, Omar Ali is affiliated with Mymichigan Medical Center Alma, Mymichigan Medical Center Alpena, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Omar Ali was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.