DR. ABDULMONAM AHMAD ABULGASEM ALI (M.D.) – Pulmonary Disease Physician, NPI 1396026506
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
848 PULMONARY DISEASE in IL
Provider Addresses for DR. ABDULMONAM AHMAD ABULGASEM ALI (M.D.)
2108 ORCHARD LAKES PL
APARTMENT 22
TOLEDO, OH 436159127
Phone: (720) 568-0997
Type: Mailing
4501 HAMMERBERSLY RD APT 10G
MADISON, WI 53711
Phone:
Type: Mailing
4106 S WATER TOWER PL
MOUNT VERNON, IL 628646544
Phone: (618) 242-8900
Type: Location
600 Highland Ave
Madison, WI 537926544
Phone: (608) 263-7203
Type: Location
2 Good Samaritan Way Ste 420
Mount Vernon, IL 628642478
Phone: (618) 899-4000
Type: Location
2300 N Edward St
Decatur, IL 625264163
Phone: (217) 876-4200
Fax: (217) 876-4209
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
600 HIGHLAND AVE
MADISON, WI 537926544
Phone: (608) 263-7203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $6,487.
Total Amount is formed as General ($6,487) + Research ($0) + Ownership ($0) = $6,487.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,075).
Total Amount
$6,487
General + Research + Ownership
Payments
24
Total payment records
General Amount
$6,487
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $6,075 |
| AstraZeneca Pharmaceuticals LP | $199 |
| GlaxoSmithKline, LLC. | $99 |
| GENZYME CORPORATION | $81 |
| TACTILE SYSTEMS TECHNOLOGY INC | $32 |
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: 2017-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20170613000176 | I | Pulmonary Disease | IL | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 58 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 43615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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