CMS-1500 Box 24J / 33a • NPI
1649253113
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3533 SOUTHERN BLVD STE 5800, KETTERING, OH, 45429-1263
✓ 9-Digit EDI 837 ZIP+4 (45429-1263)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649253113 (MEDIAN ALI, M.D.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649253113 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MEDIAN ALI, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RC0200X (Internal Medicine, Critical Care Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 3533 SOUTHERN BLVD STE 5800, KETTERING, OH, 45429-1263 |
| Practice Telephone / Fax | Tel: (937) 401-1618 | Fax: (937) 741-8366 |
| Administrative Mailing Address | 3533 SOUTHERN BLVD STE 5800, KETTERING, OH, 45429-1263 |
| Enumeration & Last Sync | Enumerated: 2005-11-29 | CMS Record Updated: 2025-10-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0200X)
What Does Taxonomy Code 207RC0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MEDIAN ALI, M.D.)
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
- 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 Description | State License & Primary Status |
|---|---|
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35-091324 | Primary: Yes (Primary) |
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35-091324 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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