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

Ali Kardan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306379904

Ali Kardan is an Internal Medicine in Kettering, Ohio. Graduated from Tulane University School of Medicine in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Trained at
Tulane University School of Medicine
Licensed in
CO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 384-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E Boulder St, Colorado Springs, CO 80909-5533 — (719) 365-1292

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR.0064304 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306379904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address3535 Southern Blvd, Kettering, OH 45429-1221

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Kettering