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

Ali Imran, MD

Individual provider Internal Medicine Physician · NPI 1861929580

Ali Imran, MD is an Internal Medicine in Mesa, Arizona. Qualified in 2017, 9 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
9
Licensed in
AZ, WI
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1130 W Grove Ave Ste 115
Mesa, AZ 85210-4942
Phone: (480) 306-5000
Fax: (480) 452-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 288-8000
  • 2301 N Lake Dr, Milwaukee, WI 53211-4508 — (414) 585-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 61661 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 72994-20 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 61661 (AZ)

Record details

NPI number1861929580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2017
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1130 W Grove Ave Ste 115, Mesa, AZ 85210-4942

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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