DR. ALI M AL KHAZAALI (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1093197451

DR. ALI M AL KHAZAALI (M.D.) is a healthcare provider. based in North chicago, Illinois. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials M.D.. They hold a License No. 125067677 (IL). The NPI Number for DR. ALI M AL KHAZAALI (M.D.) is 1093197451

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI M AL KHAZAALI (M.D.)
NPI
1093197451
Phone
(847) 406-6750
Address
3001 GREEN BAY RD
Enumeration Date
22 June 2015
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2193927016
Graduation Year
2006 (20 years ago)
PAC ID
1759636475
Group Practice PAC ID
0547521452
Professional Enrollment ID
I20200604002640
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for DR. ALI M AL KHAZAALI (M.D.)

  • 3001 GREEN BAY RD

    NORTH CHICAGO, IL 600643048

    Phone: (847) 406-6750

    Type: Mailing

  • 3001 Green Bay Rd

    North Chicago, IL 600643048

    Phone: (847) 406-6750

    Type: Location

  • 8558 BROADWAY

    MERRILLVILLE, IN 464107032

    Phone: (219) 392-7084

    Fax: (219) 703-6854

    Type: Mailing

  • 9126 COLUMBIA AVE

    MUNSTER, IN 463212907

    Phone: (219) 703-2408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $2,116.

Total Amount is formed as General ($2,116) + Research ($0) + Ownership ($0) = $2,116.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Lilly USA, LLC ($459).

Total Amount

$2,116

General + Research + Ownership

Payments

107

Total payment records

General Amount

$2,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2020-06-04

PECOS data refreshed: 2026-05-27

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
I20200604002640IEndocrinologyINTBD

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
83036Hemoglobin a1c level263149$0
99214Established patient office or other outpatient visit, 30-39 minutes11466$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3720$0
82962Blood glucose (sugar) test performed by hand-held instrument1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60064)

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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: 0547521452View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YKY
Internal MedicineIN
Internal MedicineIN
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What NPI should I save for DR. ALI M AL KHAZAALI (M.D.)?
Save NPI 1093197451 if you need a stable reference for DR. ALI M AL KHAZAALI (M.D.).
Is DR. ALI M AL KHAZAALI (M.D.) active in the national directory?
DR. ALI M AL KHAZAALI (M.D.)'s public NPI profile is in an active state.
Does DR. ALI M AL KHAZAALI (M.D.) list a primary specialty?
If you are matching referrals, note Endocrinology, Diabetes & Metabolism Physician for DR. ALI M AL KHAZAALI (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ALI M AL KHAZAALI (M.D.)'s primary listing?
We display North Chicago, Illinois because that is what the record indicates for DR. ALI M AL KHAZAALI (M.D.).
Is DR. ALI M AL KHAZAALI (M.D.) a real provider?
This page reflects official NPPES data for NPI 1093197451. Always confirm identity and privileges with the practice and licensing boards.

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