Active NPI 1013934181 Individual Practitioner Male Practitioner

Dr. Ali M Yahya , MD

Internal Medicine • Roanoke, VA

✓ Accepts Medicare Assignment

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 Yahya, MD is a registered Internal Medicine practitioner in Roanoke, VA. With approximately 39 years of clinical practice since completing medical education in 1987, Dr. Yahya provides healthcare services at the registered practice location at 2213 STANLEY AVE SE.

Dr. Yahya maintains professional affiliations with Medical Maryland Star Choice Llc, Graceway Health Care Llc, Wellcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

2213 Stanley Ave Se

Roanoke, VA 240142435

Telephone 5713389463

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +20.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

179 Specialists

Practicing in Roanoke, VA (3758 Statewide)

Telehealth Adoption Rate

8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Yahya (39 Years) 39 Yrs

Roanoke Specialty Average (18.9 Years) 18.9 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,735	276	$163.86	$110.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	467	54	$257.18	$110.62
99306 Initial nursing facility visit, typically 45 minutes per day	259	239	$255.28	$185.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	231	106	$125.00	$76.18
99497 Advance care planning, first 30 minutes	166	160	$120.00	$84.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	142	76	$203.87	$157.03
99306 Initial nursing facility visit, typically 45 minutes per day	93	65	$505.39	$185.78
99316 Nursing facility discharge management, more than 30 minutes	89	86	$159.21	$133.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	35	15	$339.31	$157.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	19	$225.60	$136.27
99497 Advance care planning, first 30 minutes	15	11	$140.93	$77.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	976	202	$192.01	$110.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	352	97	$301.30	$111.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	248	93	$133.31	$77.83
99306 Initial nursing facility visit, typically 45 minutes per day	152	137	$241.44	$189.29
99497 Advance care planning, first 30 minutes	99	94	$120.00	$86.40
99306 Initial nursing facility visit, typically 45 minutes per day	84	75	$412.71	$189.35
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	70	46	$215.61	$159.73
99316 Nursing facility discharge management, more than 30 minutes	42	42	$192.74	$133.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	25	$204.05	$78.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	580	159	$243.00	$95.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	259	87	$215.90	$95.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	144	73	$160.49	$72.45
99306 Initial nursing facility visit, typically 45 minutes per day	87	70	$401.59	$173.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	39	$146.47	$72.32
99306 Initial nursing facility visit, typically 45 minutes per day	45	43	$247.62	$173.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	18	$321.32	$137.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	14	$206.83	$136.10
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	15	$361.14	$141.25
99316 Nursing facility discharge management, more than 30 minutes	16	16	$274.59	$108.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	675	144	$286.47	$96.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	253	69	$273.95	$96.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	51	36	$214.86	$73.65
99306 Initial nursing facility visit, typically 45 minutes per day	38	37	$499.14	$176.32
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	31	$343.90	$137.44
99316 Nursing facility discharge management, more than 30 minutes	21	19	$331.67	$111.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	820	154	$293.74	$99.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	312	93	$294.24	$99.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	119	61	$224.33	$74.99
99306 Initial nursing facility visit, typically 45 minutes per day	80	72	$520.46	$180.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	33	$413.48	$139.42
99316 Nursing facility discharge management, more than 30 minutes	33	33	$341.97	$114.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	19	$224.53	$75.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$557.67	$186.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$375.17	$127.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	430	167	$293.47	$97.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	394	156	$293.57	$97.53
99306 Initial nursing facility visit, typically 45 minutes per day	123	114	$526.54	$176.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	66	$222.53	$73.25
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	72	45	$144.00	$46.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	53	$222.18	$73.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	47	35	$144.00	$46.76
99316 Nursing facility discharge management, more than 30 minutes	32	31	$343.00	$112.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	30	30	$421.00	$138.23
99306 Initial nursing facility visit, typically 45 minutes per day	23	23	$512.35	$176.81
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	14	$440.00	$144.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	834	187	$288.31	$97.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	245	132	$235.95	$97.27
99306 Initial nursing facility visit, typically 45 minutes per day	89	78	$528.67	$176.66
99306 Initial nursing facility visit, typically 45 minutes per day	45	42	$484.62	$176.63
99316 Nursing facility discharge management, more than 30 minutes	24	23	$334.92	$112.52
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	21	$285.86	$144.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	584	152	$281.11	$94.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	192	82	$204.30	$71.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	95	58	$274.26	$94.82
99306 Initial nursing facility visit, typically 45 minutes per day	76	68	$509.03	$172.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	65	62	$388.95	$133.52
99316 Nursing facility discharge management, more than 30 minutes	57	55	$286.32	$109.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	26	$204.00	$72.24
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37	36	$343.78	$141.09

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Medical Maryland Star Choice Llc

10714 Potomac Tennis Ln, Potomac, MD 208544418

Phone: 4106003744

Wellcare Inc

1 Science Park, Frostburg, MD 215322024

Phone: 3017090357

Graceway Health Care Llc

9106 Pine View Ln, Clinton, MD 207353229

Phone: 3018562930

Graceway Health Care Llc

9200 Franklin Square Dr, Baltimore, MD 212374458

Phone: 4103912600

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2213 STANLEY AVE SE, ROANOKE, VA 240142435 (Tel: 5713389463)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2213 STANLEY AVE SE, ROANOKE, VA 240142435 (Tel: 5713389463)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ALI YAHYA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration July 16, 2006

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: 1013934181

Entity Type:

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

Enumeration Date: July 16, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2213 Stanley Ave Se

Roanoke, VA 240142435

Phone: 5713389463

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.