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

Fathi Idris Ali, MD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1811905409

Fathi Idris Ali, MD is a Cardiovascular Disease (Cardiology) in Columbia, Tennessee. Qualified in 1988, 38 years ago. Practices with Centennial Heart LLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
38
Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1220 Trotwood Ave Ste 401
Columbia, TN 38401-6433
Phone: (931) 388-8622
Fax: (931) 381-7270
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 44108 (TN)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 44108 (TN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 44108 (TN)

Record details

NPI number1811905409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJanuary 7, 2022
Mailing address854 W James Campbell Blvd, Suite 303 A, Columbia, TN 38401-4659

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesCARDIAC ELECTROPHYSIOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services