Marwan Ali, MD, MBA
NPI 1265696660 · Maternal & Fetal Medicine Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marwan Ali, MD, MBA is a Maternal & Fetal Medicine Physician provider in Sacramento, CA (NPI 1265696660).
Provider details
- NPI number
- 1265696660
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MBA
- Sex
- Male
- Sole proprietor
- No
- License
- 125238 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
91 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Follow-Up Ultrasound Scan of Pregnant Uterus76816 | 38 | $119 |
| Ultrasound Scan of Fetus76819 | 38 | $92 |
| Ultrasound Scan of Pregnant Uterus With Detailed Fetal Anatomic Examination, Single Or First Fetus76811 | 15 | $188 |
Typical Medicare-allowed amounts for these services range $92–$188 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,547 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Marwan Ali's NPI number?
- Marwan Ali's National Provider Identifier (NPI) is 1265696660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marwan Ali's specialty?
- Marwan Ali is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marwan Ali located?
- Marwan Ali's practice location on file with NPPES is 100 Howe Ave Ste 186n, Sacramento, CA 95825-8219.
- What is Marwan Ali's phone number?
- The practice phone number listed in the NPPES registry for Marwan Ali is (916) 603-5600.
- Does Marwan Ali accept Medicare?
- Marwan Ali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marwan Ali's NPI active?
- Yes — Marwan Ali's NPI (1265696660) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.