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

Khameinei Ali

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063876969

Khameinei Ali is an Emergency Medicine in Sleepy Hollow, New York. Graduated from George Washington University School of Medicine in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
George Washington University School of Medicine
Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone: (914) 366-3590
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 304891 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063876969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address701 N Broadway, Sleepy Hollow, NY 10591-1020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sleepy Hollow