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

Dr. Ali Syed Pervez, DO

Individual provider Psychiatry Physician · NPI 1679000178

Dr. Ali Syed Pervez, DO is a Psychiatry in Kenosha, Wisconsin. Qualified in 2017, 9 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Wisconsin.

Years since qualifying
9
Licensed in
OH, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12225 71st St
Kenosha, WI 53142-7320
Phone: (877) 666-7223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3000 Arlington Ave # Ms 1193, Toledo, OH 43614-2595 — (419) 383-5674
  • 12225 71st St, Kenosha, WI 53142-7320 — (877) 666-7223

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 21183 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 34.014622 (OH)

Record details

NPI number1679000178
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESNovember 17, 2024
Certification dateNovember 17, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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