2026 NPPES data Pediatric Endocrinology Physician NPI 1568402188 MD
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OMAR ALI, MD

Pediatric Endocrinology Physician in MADERA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Industry payments
$375.55
13 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: OMAR ALI, MD is a Pediatric Endocrinology Physician ([object Object]) practicing in MADERA, California . Industry payments of $375.55 across 13 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: OMAR ALI, MD specializes in Pediatric Endocrinology Physician and practices in MADERA, California, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

OMAR ALI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

OMAR ALI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/08/2006

NPI 1568402188

Primary specialty

Pediatric Endocrinology Physician

Niche

1,457 US NPIs in this specialty

Specialty distribution in California

How Pediatric Endocrinology Physician compares to other specialties among California providers

California providers

Pediatric Endocrinology Physician share within California

1. Pediatric Endocrinology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Endocrinology Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Endocrinology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Endocrinology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Endocrinology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Endocrinology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

OMAR ALI, MD is a Pediatric Endocrinology Physician provider practicing in MADERA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1568402188. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

OMAR ALI, MD appears in the CMS NPPES registry as a Pediatric Endocrinology Physician provider holding MD credentials at 9300 VALLEY CHILDRENS PL # SC05, MADERA, CA, 93636, with a listed phone of (559) 353-8700. NPI 1568402188 was issued on 06/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Endocrinology Physician providers operate outside Part D entirely.

Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,457 enrolled providers across 51 states and an average of 151 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9300 VALLEY CHILDRENS PL # SC05
MADERA, CA 93636

Provider Details

NPI 1568402188
Specialty Pediatric Endocrinology Physician
Credentials MD
Gender Male
NPI Issued 06/08/2006

Hospital and facility affiliations

Facilities where OMAR ALI, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VALLEY CHILDRENS MEDICAL GROUP
MODESTO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for OMAR ALI, MD. Source: openpaymentsdata.cms.gov.

Total received

$376

Largest payer

Dexcom, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to OMAR ALI, MD. To verify OMAR ALI, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Endocrinology Physician Overview

How OMAR ALI, MD fits within the Pediatric Endocrinology Physician landscape nationally.

1,457
Pediatric Endocrinology Physician Providers in US
51
States with Pediatric Endocrinology Physician
151
Avg Claims per Provider

Nearby Pediatric Endocrinology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as ALI.

Compare Pediatric Endocrinology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is OMAR ALI, MD's specialty?
OMAR ALI, MD specializes in Pediatric Endocrinology Physician and practices in MADERA, California. Credentials: MD.
Where is OMAR ALI, MD located?
OMAR ALI, MD is located at 9300 VALLEY CHILDRENS PL # SC05, MADERA, CA, 93636. Phone: (559) 353-8700.
What is OMAR ALI, MD's NPI number?
OMAR ALI, MD's National Provider Identifier (NPI) is 1568402188, issued on 06/08/2006.
How many Pediatric Endocrinology Physician providers are there in the US?
There are 1,457 Pediatric Endocrinology Physician providers across 51 states in the US. The average Pediatric Endocrinology Physician provider writes 151 Medicare Part D claims per year.
Does OMAR ALI, MD accept Medicare?
OMAR ALI, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OMAR ALI, MD's credentials?
OMAR ALI, MD's NPI is 1568402188 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology