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

Ijaz Ali, MD

Individual provider Nephrology Physician · NPI 1588692479

Ijaz Ali, MD is a Nephrology in Mesa, Arizona. Qualified in 2000, 26 years ago. Practices with Gila River Health Care Corporation, a 241-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, North Carolina and Ohio.

Years since qualifying
26
Licensed in
AZ, NC, OH
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.

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Practice location Address checks out

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone: (480) 834-9039
Fax: (480) 964-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 49294 (AZ)
Nephrology Physician Taxonomy 207RN0300X · Licence 35087548 (OH)
Nephrology Physician Taxonomy 207RN0300X · Licence 200801118 (NC)

Record details

NPI number1588692479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 24, 2014
Mailing address612 W Baseline Rd, Mesa, AZ 85210-6041

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Gila River Health Care Corporation — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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