AMJAD ALI – Surgery Physician, NPI 1174523807

AMJAD ALI is a healthcare provider. based in Erie, Pennsylvania. specializing in GENERAL SURGERY. They hold a License No. MD425357 (PA). The NPI Number for AMJAD ALI is 1174523807

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
AMJAD ALI
NPI
1174523807
Phone
Not provided
Address
300 STATE ST
Enumeration Date
22 July 2005
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148775381
Graduation Year
1991 (35 years ago)
PAC ID
1658333448
Group Practice PAC ID
4880593722
Professional Enrollment ID
I20041103000635
Address ID
PA165082740ER3406XSTXX300

Contacts

Secure Messaging
amjad.ali@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,997 GENERAL SURGERY in PA

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Provider Addresses for AMJAD ALI

  • Bayfront Professional Building, 300, State Street, Downtown Erie, Erie, Erie County, Pennsylvania, 16507, United States

    SUITE 400A

    ERIE, PA 165071427

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Ethicon US, LLC ($124).

Total Amount

$272

General + Research + Ownership

Payments

9

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2004-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103000635IGeneral SurgeryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5135$0
99214Established patient office or other outpatient visit, 30-39 minutes4639$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1313$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 16507)

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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: 4880593722View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
-PA
-PA
Diagnostic RadiologyPA
-PA
Nurse PractitionerPA
-PA
Diagnostic RadiologyNV
-PA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Is there an official ID for AMJAD ALI in U.S. healthcare records?
The official identifier for AMJAD ALI is NPI 1174523807.
Active or inactive — what applies to AMJAD ALI?
You should see AMJAD ALI as active in CMS-hosted NPPES data.
How would a patient describe AMJAD ALI's focus?
For AMJAD ALI, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is AMJAD ALI associated with Erie?
Public fields place AMJAD ALI around Erie, Pennsylvania. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for AMJAD ALI is noted as July 22, 2005 where the registry provides it.

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