Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013913433 Individual Practitioner Male Practitioner

Dr. Ali Khavari , MD

Urology • Bangor, ME

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Ali Khavari, MD is a registered healthcare professional specializing in Urology in Bangor, ME. Official NPI practice address is registered at 55 BROADWAY.

Practice Location & Contact Primary Location

Practice Address

55 Broadway
Suite 2

Bangor, ME 044015201

Telephone 2079738881
Fax 2079475368
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Bangor, ME (76 Statewide)

Telehealth Adoption Rate
66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License ME 009535

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110720099 (ME)

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Steven Kozusko , MD, MED

Surgery - Plastic and Reconstructive Surgery

NPI 1033598248

Doctor of Medicine (M.D.), Master of Education

Calli Lynch

Physician Assistant - Surgical

NPI 1033991591
Kelsie Espling , PA-C

Physician Assistant - Surgical

NPI 1063181899

Physician Assistant (Certified)

NPI 1063640555

Doctor of Osteopathic Medicine (D.O.)

Grace Pearson , PA-C

Physician Assistant

NPI 1063836849

Physician Assistant (Certified)

NPI 1194772061

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2014

Registered at 55 BROADWAY, SUITE 2, BANGOR, ME 044015201 (Tel: 2079738881)

📍
Updated Business Mailing Address February 28, 2014

Registered at 43 WHITING HILL RD, BREWER, ME 044121005 (Tel: 2079738881)

👤
Provider Name / Credentials Updated February 28, 2014

Recorded as ALI KHAVARI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2014

Urology (License #009535 in ME)

🟢
Initial NPI Registration & Enumeration June 21, 2005

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: 1013913433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: February 28, 2014
Sole Proprietor: No

Mailing Address

43 Whiting Hill Rd

Brewer, ME 044121005

Phone: 2079738881

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.