2026 NPPES data Nephrology Physician NPI 1376646828 MD
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ROSHAN SHER ALI, MD

Nephrology Physician in ELMHURST, Illinois. 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.
Prescribing volume
860
Medicare Part D claims · 162 beneficiaries · Nephrology Physician avg: 1K
MIPS score
91.3557/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$398.61
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROSHAN SHER ALI, MD reported a CMS MIPS final score of 91.3557/100 — above the 83.1 national average — and filed 860 Medicare Part D claims in 2023.

91.3557/100
MIPS score · +8 vs avg
860
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ROSHAN SHER ALI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ROSHAN SHER ALI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ROSHAN SHER ALI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/07/2006

NPI 1376646828

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

860 41% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

91.3557/100 8.255700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Nephrology Physician compares to other specialties among Illinois providers

Illinois providers

Nephrology Physician share within Illinois

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Illinois

Medicare quality performance — MIPS

ROSHAN SHER ALI, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
91.3557/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 91.3557/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Nephrology Physician) — 91.3557/100 vs national avg 83.1

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).

ROSHAN SHER ALI, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 133 E BRUSH HILL RD STE 310, ELMHURST, IL, 60126, with a listed phone of (331) 221-9003. NPI 1376646828 was issued on 09/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHER 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 records for calendar year 2023 show 860 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $109K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3557/100 for the 2023 performance year (Quality 82.7114), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126

Provider Details

NPI 1376646828
Specialty Nephrology Physician
Credentials MD
Gender Female
NPI Issued 09/07/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.3557
Final Score
Avg: 83.1
82.7114
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ROSHAN SHER 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.

ENDEAVOR HEALTH MEDICAL GROUP
ELMHURST, IL
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD
ELMHURST, IL

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 ROSHAN SHER ALI, MD. Source: openpaymentsdata.cms.gov.

Total received

$399

Largest payer

Novartis Pharmaceuticals Corporation

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to ROSHAN SHER ALI, MD. To verify ROSHAN SHER ALI, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

860
Total Claims
$109K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,097
Total Day Supply
62,233
Generic Drug Cost
$26K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
2.54
Gender Split
63% female / 37% male
Age Distribution
<65: 16, 65-74: 67, 75-84: 53, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ROSHAN SHER ALI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
138
Furosemide
110
Hydralazine Hcl
73
Lisinopril
68
Losartan Potassium
63
Calcitriol
32
Metoprolol Succinate
32
Metolazone
25
Farxiga
Dapagliflozin Propanediol
24
Hydrochlorothiazide
22

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How ROSHAN SHER ALI, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

ROSHAN SHER ALI, MD's 860 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Illinois

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

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROSHAN SHER ALI, MD's specialty?
ROSHAN SHER ALI, MD specializes in Nephrology Physician and practices in ELMHURST, Illinois. Credentials: MD.
How much does ROSHAN SHER ALI, MD prescribe under Medicare Part D?
In 2023, ROSHAN SHER ALI, MD wrote 860 Medicare Part D claims totaling $109K in drug costs for 162 beneficiaries.
What is ROSHAN SHER ALI, MD's Medicare quality score?
ROSHAN SHER ALI, MD has a CMS MIPS Final Score of 91.3557/100 (Quality: 82.7114). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROSHAN SHER ALI, MD located?
ROSHAN SHER ALI, MD is located at 133 E BRUSH HILL RD STE 310, ELMHURST, IL, 60126. Phone: (331) 221-9003.
What is ROSHAN SHER ALI, MD's NPI number?
ROSHAN SHER ALI, MD's National Provider Identifier (NPI) is 1376646828, issued on 09/07/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does ROSHAN SHER ALI, MD prescribe most often?
Based on 2023 Medicare Part D data, ROSHAN SHER ALI, MD's most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Hydralazine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROSHAN SHER ALI, MD accept Medicare?
ROSHAN SHER ALI, MD appears in CMS Medicare data with 860 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSHAN SHER ALI, MD's credentials?
ROSHAN SHER ALI, MD's NPI is 1376646828 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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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