Ali A Al-mudamgha, MD - Medicare Cardiac Electrophysiology in Liverpool, NY

Ali A Al-mudamgha, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Liverpool, New York. He went to State University Of Ny Upstate Medical University and graduated in 1990 and has 34 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice St Josephs Medical Pc and his current practice location is 4820 W Taft Rd, Suite 209, Liverpool, New York. You can reach out to his office (for appointments etc.) via phone at (315) 448-6215.

Ali A Al-mudamgha is licensed to practice in New York (license number 187031) 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 1144216649.

Contact Information

Ali A Al-mudamgha, MD
4820 W Taft Rd, Suite 209,
Liverpool, NY 13088-2800
(315) 448-6215
(315) 234-4416



Physician's Profile

Full NameAli A Al-mudamgha
GenderMale
SpecialityCardiac Electrophysiology
Experience34 Years
Location4820 W Taft Rd, Liverpool, New York
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:
  • Ali A Al-mudamgha attended and graduated from State University Of Ny Upstate Medical University in 1990
  NPI Data:
  • NPI Number: 1144216649
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 05/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5698660173
  • Enrollment ID: I20040610001715

Medical Identifiers

Medical identifiers for Ali A Al-mudamgha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144216649NPI-NPPES
01742805MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 187031 (New York)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 187031 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital
Rome Memorial Hospital, IncRome, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Medical Pc4688855844291

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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. Ali A Al-mudamgha allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400

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Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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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. Ali A Al-mudamgha 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
Ali A Al-mudamgha, MD
4820 W Taft Rd, Suite 209,
Liverpool, NY 13088-2800

Ph: (315) 448-6215
Ali A Al-mudamgha, MD
4820 W Taft Rd, Suite 209,
Liverpool, NY 13088-2800

Ph: (315) 448-6215

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Internal Medicine Doctors in Liverpool, NY

Jody S Bleier, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088
Phone: 315-701-2170    Fax: 315-701-2186
Dr. Muhammad M. Abdel Migeed, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4820 W Taft Rd Ste 209, Liverpool, NY 13088
Phone: 315-448-6215    Fax: 315-234-4417
Hooman Ranjbaran-jahromi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4820 W Taft Rd, #209, Liverpool, NY 13088
Phone: 315-448-6215    
Dr. John Romano, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5112 W Taft Rd Ste H, Liverpool, NY 13088
Phone: 315-410-7499    
Michael Todd Schiano, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088
Phone: 315-452-2333    Fax: 315-452-2336
James A Dispenza, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5100 W Taft Rd, Liverpool, NY 13088
Phone: 315-452-2829    Fax: 315-452-2870

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