DR. JUAN OMAR ALI (M.D.) – Anesthesiology Physician, NPI 1306842083

DR. JUAN OMAR ALI (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD423731 (PA). The NPI Number for DR. JUAN OMAR ALI (M.D.) is 1306842083

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN OMAR ALI (M.D.)
NPI
1306842083
Phone
(215) 725-7600
Address
7500 CENTRAL AVE 209
Enumeration Date
27 June 2005
Last Update Date
20 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6265732222
Graduation Year
1987 (39 years ago)
PAC ID
7416918024
Group Practice PAC ID
8628350584
Professional Enrollment ID
I20230324002520
Address ID
CA917541202MO525XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

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Provider Addresses for DR. JUAN OMAR ALI (M.D.)

  • Central Avenue, Burholme, Philadelphia, Philadelphia County, Pennsylvania, 19111, United States

    PHILADELPHIA, PA 191112432

    Phone: (215) 725-7600

    Fax: (215) 725-7700

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2023-03-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041026000937IAnesthesiologyPATBD
I20230324002520IAnesthesiologyCATBD

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.

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

Insurance plans in this area (ZIP 19111)

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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: 8628350584View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
-CA
Certified Registered Nurse Anesthetist (Crna)NV
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JUAN OMAR ALI (M.D.)?
DR. JUAN OMAR ALI (M.D.) — NPI 1306842083 — is the standard way to identify this listing.
Does CMS list DR. JUAN OMAR ALI (M.D.) as active?
Yes — DR. JUAN OMAR ALI (M.D.) is active in the NPI listing used on this page.
What is DR. JUAN OMAR ALI (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for DR. JUAN OMAR ALI (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. JUAN OMAR ALI (M.D.) list a practice location?
Patients near Philadelphia, Pennsylvania may find DR. JUAN OMAR ALI (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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