✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

BASIL AHMAD ALI, MD (NPI #1437531811)

Internal Medicine • CHICAGO, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1437531811
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2525 S MICHIGAN AVE, CHICAGO, IL, 60616-2315
✓ 9-Digit EDI 837 ZIP+4 (60616-2315)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1437531811 (BASIL AHMAD ALI, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1437531811)

Medicare Beneficiaries
547
Total Billed Services
1,916
Distinct CPT/HCPCS Codes
20
Medicare Allowed Total
$225,170.38

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes196
99239 Hospital discharge day management, more than 30 minutes61
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more183
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes823
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes19
99316 Nursing facility discharge management, more than 30 minutes47

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Allopurinol
Allopurinol
18<11
Alprazolam
Alprazolam
12<11
Amiodarone Hcl
Amiodarone Hcl
19<11
Amlodipine Besylate
Amlodipine Besylate
11240
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
1212
Arexvy
Rsvpref3 Antigen/As01e/Pf
1212
Aripiprazole
Aripiprazole
22<11
Atenolol
Atenolol
29<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1437531811 (NPI-1 Individual Practitioner)
Provider / Legal NameBASIL AHMAD ALI, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address2525 S MICHIGAN AVE, CHICAGO, IL, 60616-2315
Practice Telephone / FaxTel: (815) 519-9261
Administrative Mailing AddressPO BOX 160, CARTHAGE, IL, 62321-0160
Enumeration & Last SyncEnumerated: 2015-06-23 | CMS Record Updated: 2025-06-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2525 S MICHIGAN AVE, CHICAGO, IL, 60616-2315

🗺️ Open in Google Maps 🏥 More Providers in CHICAGO

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BASIL AHMAD ALI, MD)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: IL | License: 036144602 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.
Launch Bulk NPI Checker → JSON API Docs
✓ Copied to clipboard