DR. ALI MIRZA ONDER (M.D.) – Pediatric Nephrology Physician, NPI 1124128996

DR. ALI MIRZA ONDER (M.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 22506 (WV). The NPI Number for DR. ALI MIRZA ONDER (M.D.) is 1124128996

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI MIRZA ONDER (M.D.)
NPI
1124128996
Phone
(901) 287-5674
Address
850 POPLAR AVE
Enumeration Date
22 September 2006
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026514200
Graduation Year
1997 (29 years ago)
PAC ID
8628073343
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20220322000854
Address ID
DE198033607WI1600XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

253 NEPHROLOGY in TN

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Provider Addresses for DR. ALI MIRZA ONDER (M.D.)

  • 850, Poplar Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38105, United States

    BLDG. 2

    MEMPHIS, TN 38105

    Phone: (901) 287-5674

    Fax: (901) 287-6804

    Type: Mailing

  • 51, North Dunlap Street, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38105, United States

    STE. 400

    MEMPHIS, TN 38105

    Phone: (901) 287-7337

    Fax: (901) 287-4587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-22

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
I20220322000678INephrologyNJTBD
I20220322000854INephrologyDETBD

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 38105)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

Is DR. ALI MIRZA ONDER (M.D.) listed with a National Provider Identifier?
Yes — DR. ALI MIRZA ONDER (M.D.) has NPI 1124128996 on file in the registry.
Active or inactive — what applies to DR. ALI MIRZA ONDER (M.D.)?
You should see DR. ALI MIRZA ONDER (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. ALI MIRZA ONDER (M.D.)?
DR. ALI MIRZA ONDER (M.D.) is associated with Pediatric Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ALI MIRZA ONDER (M.D.) associated with Memphis?
Public fields place DR. ALI MIRZA ONDER (M.D.) around Memphis, Tennessee. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. ALI MIRZA ONDER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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