ALI KOOSHKABADI (MD) – Neurological Surgery Physician, NPI 1306078183

Excluded from federal healthcare programs (Medicare/Medicaid)

This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-11-20. Reason: License revocation, suspension, or surrender.

Neurological Surgery Physician

ALI KOOSHKABADI (MD) is a healthcare provider. based in Youngstown, Ohio. specializing in Neurological Surgery Physician. They hold the professional credentials MD. They hold a License No. MD457463 (PA). The NPI Number for ALI KOOSHKABADI (MD) is 1306078183

Main info

Male

17 Years Of Experience

Accepts Medicare Assignment

Name

ALI KOOSHKABADI (MD)

NPI

1306078183

Phone

(330) 743-1428

Address

1044 BELMONT AVE

Enumeration Date

13 August 2009

Last Update Date

8 March 2021

Doctor Profile

Medical School Name

JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

4435128484

Graduation Year

2009 (17 years ago)

PAC ID

5799070066

Group Practice PAC ID

9032335849

Professional Enrollment ID

I20181008000142

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience65

Completeness75

Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for ALI KOOSHKABADI (MD)

1044 BELMONT AVE
YOUNGSTOWN, OH 445041006
Phone: (330) 743-1428
Fax: (330) 744-2110
Type: Location
501, Howard Avenue, Fairview, Altoona, Blair County, Pennsylvania, 16601, United States
BLDG E1
ALTOONA, PA 166014810
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44504)

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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: 9032335849View full group profile

Name	Specialty	State
IMRAN NASEER VIRK (MD)	Internal Medicine, Hospitalist	MD
BING WANG (PA-C)	Physician Assistant	MD
FRANKLIN EARL CHATHAM (MD)	-	MD
MR. CARTER BRAXTON KNIPP (PA-C)	-	MD
CHAYA SPIGELMAN (PA-C)	-	MD
ALEXANDRA GUERRIERE (PA)	Physician Assistant	MD
DR. PETER IAN SMITH (MD)	-	MD
MR. HENRY GEROGE III SCHNEIDER (PA-C)	-	MD
MR. MARCOS AURELIO WOLFF	Infectious Disease, Internal Medicine	MD
MARGIE RADA BANZUELO-RIO	Internal Medicine	MD