Dr Ali Raza Ghani, MD - Medicare Interventional Cardiology in Normal, IL

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Dr Ali Raza Ghani, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Normal, Illinois. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Swedishamerican Hospital, Carle West Physician Group Inc and his current practice location is 1302 Franklin Ave Ste 4500, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 556-8300.

Dr Ali Raza Ghani is licensed to practice in Illinois (license number 036165609) 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 1013392018.

Contact Information

Dr Ali Raza Ghani, MD
1302 Franklin Ave Ste 4500,
Normal, IL 61761-3593
(309) 556-8300
Not Available

Map and Direction




Physician's Profile

Full NameDr Ali Raza Ghani
GenderMale
SpecialityInterventional Cardiology
Experience14 Years
Location1302 Franklin Ave Ste 4500, Normal, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ali Raza Ghani graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1013392018
  • Provider Enumeration Date: 07/21/2015
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628382546
  • Enrollment ID: I20230725002789

Medical Identifiers

Medical identifiers for Dr Ali Raza Ghani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013392018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036165609 (Illinois)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 036165609 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
Advocate Bromenn Medical CenterNormal, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedishamerican Hospital5799698346269
Carle West Physician Group Inc8921420308283

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. Dr Ali Raza Ghani allows following entities to bill medicare on his behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012
Entity NameCarle Eureka Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184644023
PECOS PAC ID: 3870914393
Enrollment ID: O20200609000028
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Dr Ali Raza Ghani 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 AddressPractice Location Address
Dr Ali Raza Ghani, MD
611 W Park St, Fapc,
Urbana, IL 61801-2500

Ph: () -		Dr Ali Raza Ghani, MD
1302 Franklin Ave Ste 4500,
Normal, IL 61761-3593

Ph: (309) 556-8300

Reviews and Comments


Internal Medicine Doctors in Normal, IL

Dr. Thanom Temiyasathit, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761
Phone: 309-828-1166    Fax: 309-862-0330
Beth L Tumilty, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761
Phone: 309-828-1166    Fax: 309-862-0330
Piotr Pawel Krolikowski, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-3598    Fax: 309-268-2536
Dr. Chae Chu, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761
Phone: 309-662-9631    Fax: 309-662-4706
Mr. Thomas Deweert, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761
Phone: 309-454-5900    Fax: 309-454-2820
Dr. Dory C Jarzabkowski, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761
Phone: 309-828-1166    Fax: 309-862-0330

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.