DR. ABDULFATAH M ALI (M.D.) – Ophthalmology Physician, NPI 1053382937

DR. ABDULFATAH M ALI (M.D.) is a healthcare provider. based in Plano, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. DR43898 (CO). The NPI Number for DR. ABDULFATAH M ALI (M.D.) is 1053382937

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDULFATAH M ALI (M.D.)
NPI
1053382937
Phone
(972) 379-3937
Address
4108 WEST 15TH ST.
Enumeration Date
30 January 2006
Last Update Date
18 July 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9723793937
Graduation Year
1997 (29 years ago)
PAC ID
3274588389
Group Practice PAC ID
5092968164
Professional Enrollment ID
I20111117000467
Address ID
TX750935850PL4108XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for DR. ABDULFATAH M ALI (M.D.)

  • 4108, West 15th Street, Cowley, Plano, Collin County, Texas, 75252, United States

    SUITE 200

    PLANO, TX 750755841

    Phone: (972) 379-3937

    Fax: (972) 379-3938

    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 30 Open Payments records for all available years, with a total value of $1,018.

Total Amount is formed as General ($1,018) + Research ($0) + Ownership ($0) = $1,018.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Alcon Vision LLC ($585).

Total Amount

$1,018

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,018

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2011-11-17

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
I20111117000467IOphthalmologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes322160$0
99213Established patient office or other outpatient visit, 20-29 minutes13585$0
92014Established patient complete exam of visual system118115$0
92136Measurement of corneal curvature and depth of eye9165$0
66984Removal of cataract with insertion of prosthetic lens6942$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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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: 5092968164View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is DR. ABDULFATAH M ALI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ABDULFATAH M ALI (M.D.) with NPI 1053382937.
Is DR. ABDULFATAH M ALI (M.D.) listed as active for patients and plans?
The listing shows DR. ABDULFATAH M ALI (M.D.) as active in the NPI system.
What is DR. ABDULFATAH M ALI (M.D.)'s specialty?
The listing groups DR. ABDULFATAH M ALI (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. ABDULFATAH M ALI (M.D.) list a practice location?
Patients near Plano, Texas may find DR. ABDULFATAH M ALI (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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