Active NPI
Syed V. Ali, MD PC
- Pulmonary Disease Physician
- Port Huron, MI
National Provider Identifier
1043645179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301078992
- Legal business name
- SYED V. ALI, MD PC
- Practice address
- 2603 Electric Ave Ste 1
Port Huron, MI 48060-6588 - Phone
- (810) 824-4198
- Fax
- (810) 824-4785
- NPI assigned
- Sep 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Syed Ali, MD
- Title
- MD
- Phone
- (810) 824-4198
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | 4301078992 | MI | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
2603 Electric Ave Ste 1
Port Huron, MI 48060-6588
Mailing address
2603 Electric Ave Ste 1
Port Huron, MI 48060-6588
Phone (810) 824-4198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043645179 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1043645179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE STE 1",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-824-4198",
"fax_number": "810-824-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE STE 1",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-824-4198",
"fax_number": "810-824-4785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYED V. ALI, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-09",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "810-824-4198",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301078992",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043645179",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.