DR. KASIM M ALI (MD) – Diagnostic Radiology Physician, NPI 1275876120

DR. KASIM M ALI (MD) is a healthcare provider. based in Willowbrook, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036140613 (IL). The NPI Number for DR. KASIM M ALI (MD) is 1275876120

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KASIM M ALI (MD)
NPI
1275876120
Phone
(630) 235-2454
Address
200 WATERFORD DR
Enumeration Date
28 March 2013
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4049373046
Graduation Year
2013 (13 years ago)
PAC ID
1254623895
Group Practice PAC ID
3577838689
Professional Enrollment ID
I20230623000071
Address ID
GA300335924DE2801XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

804 DIAGNOSTIC RADIOLOGY in CT

Provider Addresses for DR. KASIM M ALI (MD)

  • 200 WATERFORD DR

    WILLOWBROOK, IL 605275457

    Phone: (630) 235-2454

    Type: Mailing

  • 20 YORK ST

    NEW HAVEN, CT 06510

    Phone: (203) 737-4695

    Type: Location

  • 200 Waterford Dr

    Willowbrook, IL 605275457

    Phone: (630) 235-2454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190801002697IDiagnostic RadiologyTXTBD
I20230623000071IDiagnostic RadiologyGATBD

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
72148Mri scan of lower spinal canal without contrast378371$0
70553Mri scan of brain before and after contrast208203$0
72141Mri scan of upper spinal canal without contrast167164$0
70551Mri scan of brain without contrast10198$0
72146Mri scan of middle spinal canal without contrast5452$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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: 3577838689View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyFL
-FL
-GA
Diagnostic RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What is DR. KASIM M ALI (MD)'s NPI number?
DR. KASIM M ALI (MD)'s NPI is 1275876120 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. KASIM M ALI (MD)?
You should see DR. KASIM M ALI (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. KASIM M ALI (MD)?
DR. KASIM M ALI (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KASIM M ALI (MD)?
Directory geography for DR. KASIM M ALI (MD) centers on Willowbrook, Illinois.
When was this NPI issued?
Enumeration for DR. KASIM M ALI (MD) is noted as March 28, 2013 where the registry provides it.

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