MEDICARE: COMPREHENSIVE RHEUMATOLOGY CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00425199	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7703883	OTHER	TN	AETNA
4	4141539	OTHER	TN	BCBS
6	I24961	OTHER	TN	HEALTHSPRING
7	01043555	OTHER	TN	AMERIGROUP
8	TN0103	OTHER	TN	AMERICHOICE

General Provider Information

NPI Number	:	1619063542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE RHEUMATOLOGY CARE PLLC

Provider Business Mailing Address
First Line	:	242 INDIAN LAKE BLVD STE 100
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-6205
Country	:	US
Telephone Number	:	615-822-5660
Fax Number	:	615-822-5611

Provider Business Practice Location Address
First Line	:	242 INDIAN LAKE BLVD STE 100
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-6205
Country	:	US
Telephone Number	:	615-822-5660
Fax Number	:	615-822-5611

Authorized Official
Title or Position	:	MD
Name	:	DR. MOHAMMAD F ALI
Credential	:	MD
Telephone Number	:	615-822-5660

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	03/18/2026

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