Individual provider Active NPI

Ali Baydoun, DO

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1023500840
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5151016218 Issued in MI
Practice address
25350 W Warren St
Dearborn Heights, MI 48127-2102
Phone
(313) 914-3666
NPI assigned
Jun 6, 2018
Reactivated
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5151016218 MI Primary
Technician/Technologist 156F00000X

Addresses

Primary practice location

25350 W Warren St
Dearborn Heights, MI 48127-2102

Mailing address

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608002245 MI Order and Referring Only - Family PracticePractitioner - Family Practice 8729445648

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25350 W Warren St
Dearborn Heights, MI 48127-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5151016218MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doc Clinic and Urgent Care PLLC Family Medicine CurrentSince Aug 1, 2026 Accepting new patients
Medworks Urgent Care PLLC CurrentSince Aug 1, 2026 Accepting new patients
Family Doc Urgent Care PLLC Family Medicine CurrentSince Aug 1, 2026 Accepting new patients

Locations

19100 Goddard Rd
Allen Park, MI 48101
Phone (313) 763-0309

25350 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 914-3666

25350 W Warren St
Dearborn Hts, MI 48127
Phone (313) 563-2020

9800 Conant St
Hamtramck, MI 48212
Phone (313) 285-8728

1042 Griswold St
Ste 2
Port Huron, MI 48060
Phone (810) 202-1537

1042 Griswold St
Ste 1
Port Huron, MI 48060
Phone (810) 202-1537

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1023500840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272102",
            "telephone_number": "313-914-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYDOUN",
        "first_name": "ALI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "deactivation_date": "2023-05-09",
        "reactivation_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5151016218",
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.