Maqbool B Ali, M.D
Surgery in Peoria, IL. Individual provider (NPI-1).
NPI number1801874565
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1801874565
- Entity type
- Individual (NPI-1)
- Name
- Maqbool B Ali
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2006
- Last updated
- Jan 10, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036058850 | IL | Yes |
Practice location
4930 N Executive DrPeoria, IL 61614-4894
Phone 309-692-7575 · Fax 309-692-0275
Mailing address
4930 N Executive DrPeoria, IL 61614-4894
Phone 309-692-7575 · Fax 309-692-0275
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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