Active NPI 1164632766 Individual Practitioner Female Practitioner

Dr. Sadia Ali , MD

Specialist • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sadia Ali, MD is a certified Specialist practicing in Waterloo, IA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Ali delivers high-quality medical care to the local community at 2710 SAINT FRANCIS DR.

Dr. Ali maintains professional affiliations with Fairview Express Care, Intermed Consultants,Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2710 Saint Francis Dr
Suite 210

Waterloo, IA 507025619

Telephone 3192725000

Fax 3192725728

Associated Practice Facility / Clinic

🏢 Covenant Medical Center Inc Facility NPI 1497796494

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 36.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Waterloo, IA (135 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ali (27 Years) 27 Yrs

Waterloo Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	325	176	$291.25	$74.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	177	163	$492.55	$121.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	30	$443.43	$111.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$710.00	$163.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$250.00	$123.94
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$175.00	$88.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	354	184	$252.39	$74.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	183	88	$352.16	$112.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	152	143	$472.68	$122.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	56	$685.63	$164.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$250.00	$124.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	447	174	$295.69	$96.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	128	$211.52	$67.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	113	$547.00	$186.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	76	$428.09	$126.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$250.00	$118.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	78	$259.16	$100.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	155	80	$178.61	$69.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	79	$489.69	$194.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$333.85	$131.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	77	$314.00	$99.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	67	$219.00	$68.92
36415 Insertion of needle into vein for collection of blood sample	54	22	$20.00	$2.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$610.00	$190.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	28	$119.00	$38.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$413.00	$130.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	16	$439.00	$144.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	16	$29.25	$7.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$327.00	$108.08
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$224.00	$74.57
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$306.00	$99.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	60	$301.00	$101.05
36415 Insertion of needle into vein for collection of blood sample	75	35	$20.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	41	$210.00	$70.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	40	$418.00	$142.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$585.00	$196.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	38	20	$28.75	$8.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	27	$310.00	$106.88
86140 Measurement C-reactive protein for detection of infection or inflammation	37	19	$19.25	$5.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$596.00	$201.37
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$210.00	$73.10
G0008 Administration of influenza virus vaccine	15	14	$31.00	$16.48
G0009 Administration of pneumococcal vaccine	12	12	$31.00	$16.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$189.00	$111.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	48	$200.00	$70.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	38	$290.00	$101.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	22	$298.00	$106.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	21	$401.00	$142.70
36415 Insertion of needle into vein for collection of blood sample	32	23	$17.00	$2.94
86140 Measurement C-reactive protein for detection of infection or inflammation	30	14	$19.00	$6.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	16	$29.25	$9.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$563.00	$197.40
82565 Blood creatinine level	26	14	$19.25	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$202.00	$71.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$380.00	$132.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$573.00	$201.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	49	$190.00	$70.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	23	$283.00	$105.60
36415 Insertion of needle into vein for collection of blood sample	24	15	$17.00	$2.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$534.00	$196.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$274.00	$101.38
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$192.00	$71.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$361.00	$132.38

Medical Specialties & State Licenses

CMS Verified: 2021-03-09

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IA 37571

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License MN 60379

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Hospital & Practice Group Affiliations

Fairview Express Care

201 E Nicollet Blvd, Burnsville, MN 553375714

Phone: 9528922000

Intermed Consultants,ltd.

6600 France Ave S, Edina, MN 554351802

Phone: 9529202070

Secondary Practice Locations

3800 Park Nicollet Blvd

St Louis Park, MN 554162527

Phone: 9529933123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Felipe Javier , MD

Allergy & Immunology

NPI 1003819624

Doctor of Medicine (M.D.)

Nicole Menuey , ARNP

Nurse Practitioner - Family

NPI 1013272517

Advanced Registered Nurse Practitioner

Irmela Salihovic , FNP-C

Nurse Practitioner

NPI 1013623289

Family Nurse Practitioner (Certified)

Dr. Ronald Kane , DPM

Podiatrist

NPI 1013944412

Doctor of Podiatric Medicine

Dr. Brian Sims , DO

Pediatrics

NPI 1023051554

Doctor of Osteopathic Medicine (D.O.)

Dr. Brian Sankey , DO

Family Medicine

NPI 1043479355

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address March 09, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

✅

NPI Profile Active August 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2008

Registered at 2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 507025619 (Tel: 3192725000)

📍

Updated Business Mailing Address August 29, 2008

Registered at 2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 507025619 (Tel: 3192725000)

👤

Provider Name / Credentials Updated August 29, 2008

Recorded as SADIA ALI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2008

Specialist (License #37571 in IA)

🟢

Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164632766

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2007

Last Update: March 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.