DR. ALI RAZA GHANI (M.D.) – Interventional Cardiology Physician, NPI 1013392018

DR. ALI RAZA GHANI (M.D.) is a healthcare provider. based in Belfast, Maine. specializing in INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 036165609 (IL). The NPI Number for DR. ALI RAZA GHANI (M.D.) is 1013392018

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI RAZA GHANI (M.D.)
NPI
1013392018
Phone
Not provided
Address
PO BOX 18892
Enumeration Date
21 July 2015
Last Update Date
24 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7796965000
Graduation Year
2011 (15 years ago)
PAC ID
8628382546
Group Practice PAC ID
5799698346
Professional Enrollment ID
I20230725002789
Address ID
IL611033100RO2909XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for DR. ALI RAZA GHANI (M.D.)

  • PO BOX 18892

    BELFAST, ME 049154083

    Phone:

    Type: Mailing

  • 3635 VISTA AVENUE, DESLOGE TOWERS, 13TH FLOOR,

    ST. LOUIS

    ST LOUIS, MO 63110

    Phone:

    Type: Mailing

  • 3635 VISTA AVENUE, DESLOGE TOWERS, 13TH FLOOR

    ST. LOUIS, MO 63310

    Phone: (267) 337-3348

    Type: Location

  • 1340 CHARLES ST STE 300

    ROCKFORD, IL 611042200

    Phone:

    Type: Mailing

  • 1910 E Thomas Rd # 101

    Phoenix, AZ 850167766

    Phone: (480) 470-0003

    Type: Location

  • 1340 Charles St Ste 300

    Rockford, IL 611042200

    Phone: (779) 696-5888

    Fax: (779) 696-5898

    Type: Location

  • 1302 FRANKLIN AVE STE 4500

    NORMAL, IL 617613593

    Phone: (309) 556-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $6,116.

Total Amount is formed as General ($6,116) + Research ($0) + Ownership ($0) = $6,116.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($2,568).

Total Amount

$6,116

General + Research + Ownership

Payments

32

Total payment records

General Amount

$6,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200415002534IInternal MedicineMOTBD
I20230725002789IInterventional CardiologyILTBD
I20250908003387IInterventional CardiologyAZTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2216$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 5799698346View full group profile
NameSpecialtyState
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineWI
Thoracic Surgery, Cardiac SurgeryMI
Physical Therapist In Private PracticeIL
-IL
General SurgeryGA
Internal MedicineWI
N E U R O S U R G E R YIL
-WI
Orthopedic SurgeryWI
Physician AssistantWI

Reviews

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Frequently asked questions

What is the registry number for DR. ALI RAZA GHANI (M.D.)?
The registry entry for DR. ALI RAZA GHANI (M.D.) shows NPI 1013392018.
Quick check: is DR. ALI RAZA GHANI (M.D.) active?
Public NPPES data shows DR. ALI RAZA GHANI (M.D.) with an active NPI status right now.
How should patients interpret DR. ALI RAZA GHANI (M.D.)'s specialty?
The extract shows Interventional Cardiology Physician for DR. ALI RAZA GHANI (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALI RAZA GHANI (M.D.)?
DR. ALI RAZA GHANI (M.D.) shows a connection to Belfast, Maine in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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