Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ali Baltaji

Individual provider Internal Medicine Physician · NPI 1912559691

Ali Baltaji is a Nephrology in Bowling Green, Kentucky. Qualified in 2018, 8 years ago. Practices with Southern Kentucky Nephrology Associates PSC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Kentucky.

Years since qualifying
8
Licensed in
IL, KY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

720 2nd Ave Ste 203
Bowling Green, KY 42101-1778
Phone: (270) 843-5114
Fax: (270) 745-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 N Busey Apt 7, Urbana, IL 61801 — (217) 518-6382

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 59321 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125074501 (IL)

Record details

NPI number1912559691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address720 2nd Ave Ste 203, Bowling Green, KY 42101-1778

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern Kentucky Nephrology Associates Psc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green