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Mohamed Abdirazak Ali

Physician β€’ Phoenix, AZ

Active NPI 1952766842 Individual Practitioner Male Practitioner
Practice location in NPPES

1102 W Indian School Rd
Phoenix, AZ 850133107

Call 6022737000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1102 W Indian School Rd

Phoenix, AZ 850133107

Telephone 6022737000
Fax 6022737003
Organization at the Same NPPES Address or Phone
Abundant Enterprises L.l.c Facility NPI 1700179801

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-09
Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address May 09, 2023

Registered at 12535 W KALER DR, GLENDALE, AZ 853071786 (Tel: 6025317461)

βœ…
NPI Profile Active December 21, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 21, 2015

Registered at 1102 W INDIAN SCHOOL RD, PHOENIX, AZ 850133107 (Tel: 6022737000)

πŸ“
Business Mailing Address (Initial Record) December 21, 2015

Registered at 3330 E VAN BUREN ST APT 417, PHOENIX, AZ 850086864 (Tel: 6022737000)

πŸ‘€
Provider Name / Credentials (Initial Record) December 21, 2015

Recorded as MOHAMED ALI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2015

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration December 21, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952766842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2015
Last Update: May 09, 2023
Sole Proprietor: Yes

Mailing Address

12535 W Kaler Dr

Glendale, AZ 853071786

Phone: 6025317461

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.