Ali Y Mian (NPI# 1093026064, PAC ID# 5496098964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093026064 |
| PAC ID by PECOS | 5496098964 |
| Professional Enrollment ID | I20190524000609 |
| Full Name | Ali Y Mian |
| Organization Legal Name | MIRACL LLC |
| Address |
1000 W 10th St Phelps Health Rolla MO 65401-2905 |
| Phone Number | 5733649000 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587908041 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260032 | BARNES JEWISH HOSPITAL |
| 260162 | BARNES-JEWISH WEST COUNTY HOSPITAL |
| 260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| 263301 | ST LOUIS CHILDRENS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 | 5733649000 | MIRACL LLC |
| 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 31436272001 | WASHINGTON UNIVERSITY |
| Organization Legal Name | MIRACL LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farrokh Dehdashti | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Maria R Ponisio | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Matthew S Parsons | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Robert D Downing | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Kelby B Napier | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Tammie L Benzinger | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Pamela K Woodard | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jamal J Derakhshan | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Aseem Sharma | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Cylen Javidan Nejad | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Street Address |
1000 W 10TH ST PHELPS HEALTH |
| City | ROLLA |
| State | MO |
| Zip | 65401-2905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Candy L Sadler | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Joseph W Meyerott | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jennifer L Bremer | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| James J Spadaro | Cardiovascular Disease (cardiology) | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Farrokh Dehdashti | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Maria R Ponisio | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Christin L Hylton | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Matthew S Parsons | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Blaine E Goodman | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
| Sean L Harris | Nurse Practitioner | South Central Missouri Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 |
| Sharon Renee Anderson | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
| Dixie Fox | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
| Tim M Rhoads | Chiropractic | 1201 C Forum Dr, Rolla, MO 65401-2587 | |
| Jacob G Heaberlin | Chiropractic | 1201 Forum Dr, Suite B, Rolla, MO 65401-2587 | |
| Vernon Edward Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
| David E Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
| Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
| Find all physicians in zip 65401 | |||
| City | ROLLA |
| Zip Code | 65401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ROLLA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ali Y Mian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.