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ALI MAHDAVI MD NPI 1578628350


NPI Information

NPI: 1578628350
Provider Name: ALI MAHDAVI, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
1000 MINERAL POINT AVE
JANESVILLE, WI
ZIP 53548
Phone: (608) 756-6588
Get Directions

Ali Mahdavi, MD is a gynecologic oncology obstetrics gynecology in Janesville, WI with 32 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Ali Mahdavi, MD NPI is 1578628350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 MINERAL POINT AVE
JANESVILLE, WI
ZIP 53548-940
Phone: (608) 756-6588
Fax: (608) 756-4737

The NPI 1578628350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope (HCPCS:58571)

The enumeration date for this NPI number is 12/22/2006 and was last updated on 2/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology54656WISCONSINNo
2207VX0201XObstetrics & GynecologyGynecologic Oncology54656-20WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1$$$$$$$$$ 2MEDICAIDILLINOIS
21578628350MEDICAIDWISCONSIN
3H43185MEDICARE UPINCALIFORNIA
4K400291848-54176MEDICARE PINWISCONSIN
5MAHDAALIOTHERWISCONSINMERCYCARE INSURANCE
61578628350OTHERWISCONSINBCBSWI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.