Dr Ali Kimyaghalam, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Sharon, Pennsylvania. His current practice location is
740 E State St, Sharon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 983-3911.
Dr Ali Kimyaghalam is licensed to practice in Pennsylvania (license number MD480977) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922455146.
Physician's Profile
Full Name | Dr Ali Kimyaghalam |
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Gender | Male |
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Speciality | Surgery - Vascular Surgery |
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Location | 740 E State St, Sharon, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922455146
- Provider Enumeration Date: 05/17/2016
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587033998
- Enrollment ID: I20221207000810
Medical Identifiers
Medical identifiers for Dr Ali Kimyaghalam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922455146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 311290 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 7061377 (Idaho) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD480977 (Pennsylvania) | Primary |
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 Kimyaghalam allows following entities to bill medicare on his behalf.
Entity Name | New York Community Hospital Of Brooklyn Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1508377334 PECOS PAC ID: 6901798016 Enrollment ID: O20180417000319 |
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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 Kimyaghalam 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 |
Dr Ali Kimyaghalam, MD 1350 E Market St, Warren, OH 44483-6608 Ph: (330) 884-0795 | Dr Ali Kimyaghalam, MD 740 E State St, Sharon, PA 16146-3328 Ph: (724) 983-3911 |
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