OrganizationActive
Syed Masood Ali, Mdsc
NPI 1689896961 · General Practice Physician · Peoria, IL
Syed Masood Ali, Mdsc is a General Practice Physician organization in Peoria, IL (NPI 1689896961).
Provider details
- NPI number
- 1689896961
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Lafollette, Billing Manager(309) 671-8749
- License
- 036067626 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
4930 N Executive Dr
Peoria, IL 61614-4894
Phone: (309) 692-7575
Street-level locationGet directions
Mailing address
4930 N Executive Dr
Peoria, IL 61614-4894
Other names (DBA / former)
- Doing business as
- Glen Avenue Family Practice
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2008-06-30
Frequently asked questions
- What is Syed Masood Ali, Mdsc's NPI number?
- Syed Masood Ali, Mdsc's National Provider Identifier (NPI) is 1689896961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Syed Masood Ali, Mdsc?
- Syed Masood Ali, Mdsc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Syed Masood Ali, Mdsc located?
- Syed Masood Ali, Mdsc's practice location on file with NPPES is 4930 N Executive Dr, Peoria, IL 61614-4894.
- What is Syed Masood Ali, Mdsc's phone number?
- The practice phone number listed in the NPPES registry for Syed Masood Ali, Mdsc is (309) 692-7575.
- Who is the authorized official for Syed Masood Ali, Mdsc?
- The authorized official listed on Syed Masood Ali, Mdsc's NPPES record is Susan Lafollette, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Syed Masood Ali, Mdsc's NPI active?
- Yes — Syed Masood Ali, Mdsc's NPI (1689896961) is active in the NPPES registry as of the last update on 2008-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.