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

Annis Mohamed Bushaala Ali, MD

Individual provider Surgery Physician · NPI 1447647904

Annis Mohamed Bushaala Ali, MD is a Thoracic Surgery in York, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2015
Specialties on file
2
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

25 Monument Rd Ste 295
York, PA 17403-5049
Phone: (717) 356-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 446 N Reading Rd Fl 2, Ephrata, PA 17522-9802 — (717) 356-5864
  • 252 S 4th St Fl 2, Lebanon, PA 17042-6111 — (717) 812-4095

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD481917 (PA)
Surgery Physician Taxonomy 208600000X · Licence MD482147 (PA)

Record details

NPI number1447647904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2015
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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