MARYYAM ALI (M.D.) – Nephrology Physician, NPI 1518386093
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 NEPHROLOGY in MN
Provider Addresses for MARYYAM ALI (M.D.)
2854 HIGHWAY 55 STE 130
EAGAN, MN 551211447
Phone: (651) 842-3349
Fax: (651) 842-3391
Type: Mailing
1997 SLOAN PL STE 17
MAPLEWOOD, MN 55117
Phone: (651) 772-6251
Fax: (651) 224-9661
Type: Location
1997 Sloan Pl Ste 17
Maplewood, MN 55117
Phone: (651) 772-6251
Fax: (651) 224-9661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($25).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $25 |
| Novo Nordisk Inc | $13 |
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: 2020-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191021002118 | I | Nephrology | MN | TBD |
| I20201005001336 | I | Nephrology | WI | 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 |
|---|---|---|---|---|
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 270 | 37 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 167 | 66 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 120 | 18 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 95 | 65 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 87 | 39 | $0 |
Insurance plans in this area (ZIP 55121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | WI | |
| - | IA | |
| Physician Assistant | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| Internal Medicine, Pediatric Medicine | MN | |
| - | WI | |
| - | WI | |
| Cardiac Electrophysiology | MN |
Reviews
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