DR. MOHAMED REDA JR. ALI (MD) – Surgery Physician, NPI 1174504443

DR. MOHAMED REDA JR. ALI (MD) is a healthcare provider. based in Sacramento, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A80020 (CA). The NPI Number for DR. MOHAMED REDA JR. ALI (MD) is 1174504443

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMED REDA JR. ALI (MD)
NPI
1174504443
Phone
(916) 734-4596
Address
2315 STOCKTON BLVD
Enumeration Date
14 November 2005
Last Update Date
1 November 2007

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
2093846528
Graduation Year
1995 (31 years ago)
PAC ID
4284816166
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20110314000927
Address ID
CA953408787ME3850XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,324 GENERAL SURGERY in CA

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Provider Addresses for DR. MOHAMED REDA JR. ALI (MD)

  • University of California, Davis Medical Center, 2315, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States

    DEPARTMENT OF SURGERY

    SACRAMENTO, CA 958172201

    Phone: (916) 734-4596

    Fax: (916) 734-3951

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Medtronic, Inc. ($422).

Total Amount

$573

General + Research + Ownership

Payments

5

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110314000927IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes4343$0
91010Study of esophagus to assess movement1818$0
91038Prolonged monitoring and recording of esophageal function through nasal tube with electrode1313$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456619View full group profile
NameSpecialtyState
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Cardiovascular Disease (Cardiology)CA
-CA
-CA
A N E S T H E S I O L O G YWA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does DR. MOHAMED REDA JR. ALI (MD) have a public NPI I can cite?
Public records show DR. MOHAMED REDA JR. ALI (MD) under NPI 1174504443.
Is DR. MOHAMED REDA JR. ALI (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MOHAMED REDA JR. ALI (MD) as active.
Which specialty label fits DR. MOHAMED REDA JR. ALI (MD)?
NPPES ties DR. MOHAMED REDA JR. ALI (MD) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MOHAMED REDA JR. ALI (MD)?
DR. MOHAMED REDA JR. ALI (MD) is associated with Sacramento, California in the same public data insurers reference.
Why is information missing for DR. MOHAMED REDA JR. ALI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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