DR. MADAD ALI (M.D.) – Gastroenterology Physician, NPI 1376564815
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for DR. MADAD ALI (M.D.)
1 INGALLS DR
HARVEY, IL 604263558
Phone: (855) 826-3878
Type: Location
14 Morrison St
Closter, NJ 076241129
Phone: (573) 727-6581
Type: Location
125 River Rd Ste 103
Edgewater, NJ 070201002
Phone: (201) 969-2111
Fax: (201) 969-8015
Type: Location
802 N Riverside Rd Ste 220
Saint Joseph, MO 645072509
Phone: (816) 271-7074
Type: Location
1504 Taub Loop
Houston, TX 770301608
Phone: (713) 873-8890
Type: Location
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 770304202
Phone: (713) 798-3503
Type: Mailing
1504 TAUB LOOP
HOUSTON, TX 770301608
Phone: (713) 873-8890
Type: Location
14, Morrison Street, Closter, Bergen County, New Jersey, 07624, United States
CLOSTER, NJ 076241129
Phone: (573) 778-2488
Type: Mailing
Saint George Barber Road, Eickelberry Woods, Edgewater, Anne Arundel County, Maryland, 21035, United States
EDGEWATER, NJ 070201002
Phone: (201) 969-2111
Fax: (201) 969-8015
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.
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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: 2022-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160816002108 | I | Gastroenterology | IL | TBD |
| I20161201000908 | I | Gastroenterology | PA | TBD |
| I20200617001185 | I | Gastroenterology | NJ | TBD |
| I20220825003656 | I | Gastroenterology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 33 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | 28 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 27 | 26 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 60426)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | NJ | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | PA | |
| Anesthesiology, Pain Management | PA | |
| Clinical Psychologist | PA | |
| Neurology, Psychiatry | PA | |
| Diagnostic Radiology | PA | |
| Medical Oncology, Internal Medicine, Hematology | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| H E M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA |
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