Ali Ahmed Fazili, MD in Salt Lake City, UT - Medicare Pulmonary Disease

Ali Ahmed Fazili, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Salt Lake City, Utah. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 324 E 10th Ave Ste 170, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 408-5555.

Ali Ahmed Fazili is licensed to practice in Utah (license number 5114957-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013994813.

Contact Information

	Ali Ahmed Fazili, MD
	324 E 10th Ave Ste 170, Salt Lake City, UT 84103
	(801) 408-5555
	(801) 408-5556

Map and Direction

Physician's Profile

Full Name	Ali Ahmed Fazili
Gender	Male
Speciality	Pulmonary Disease
Experience	33 Years
Location	324 E 10th Ave Ste 170, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ali Ahmed Fazili graduated from medical school in 1991

NPI Data:

NPI Number: 1013994813
Provider Enumeration Date: 12/22/2005
Last Update Date: 06/11/2018

Medicare PECOS Information:

PECOS PAC ID: 6800810037
Enrollment ID: I20060114000062

Medical Identifiers

Medical identifiers for Ali Ahmed Fazili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013994813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	5114957-1205 (Utah)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	5114957-1205 (Utah)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	5114957-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lds Hospital	Salt lake city, UT	Hospital
Intermountain Medical Center	Murray, UT	Hospital
Alta View Hospital	Sandy, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ali Ahmed Fazili allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ali Ahmed Fazili is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ali Ahmed Fazili, MD 324 E 10th Ave Ste 170, Salt Lake City, UT 84103-2858 Ph: (801) 408-5555	Ali Ahmed Fazili, MD 324 E 10th Ave Ste 170, Salt Lake City, UT 84103 Ph: (801) 408-5555

Reviews and Comments

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Dr. Mehmet Akkaya, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
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Siddharth K. Iyengar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Ali Ahmed Fazili, MD - Medicare Pulmonary Disease in Salt Lake City, UT