Individual provider Active NPI

Liaqat Ali, M.D.

  • Dermatopathology Physician
  • Monroe, MI
National Provider Identifier
1053547885
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
4301100629 Issued in MI
Practice address
1314 N Macomb St
Monroe, MI 48162-3131
Phone
(734) 242-6872
Fax
(734) 242-4962
NPI assigned
Jun 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 74802 GA
Dermatopathology Physician 207ND0900X 4301100629 MI Primary

Addresses

Primary practice location

1314 N Macomb St
Monroe, MI 48162-3131

Mailing address

1314 N Macomb St
Monroe, MI 48162-3131
Phone (734) 242-6872

Other identifiers 1

IdentifierTypeStateIssuer
003171153AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WV, GA, NY, TN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120925000481 MI Practitioner - DermatologyPractitioner - PathologyPractitioner - Hematology/Oncology 6901055516 Reassigns benefits to 3 organizations
I20150918002403 WV Practitioner - Pathology 6901055516 Reassigns benefits to 1 organization
I20160405000661 GA Practitioner - DermatologyPractitioner - Pathology 6901055516 Reassigns benefits to 1 organization
I20231216000071 NY Practitioner - Dermatology 6901055516 Reassigns benefits to 1 organization
I20250430003415 TN Practitioner - Pathology 6901055516

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinkus Dermatopathology Laboratory, PCGroup PAC ID 8921077884, 7 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1200 Brookstone Centre Pkwy
Unit 3
Columbus, GA 31904-2988
Phone (706) 256-1133

1314 N Macomb St
Monroe, MI 48162-3131
Phone (866) 484-3522

2101 Brookstone Centre Pkwy
Suite 300
Columbus, GA 31904-9254
Phone (706) 256-1133

50421 7 Mile Rd
Northville, MI 48167-9274
Phone (716) 574-6513

6400 Sheridan Dr
Suite 224
Williamsville, NY 14221-4842
Phone (716) 334-0357

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Dermatopathology Dermatopathology CurrentSince Jan 29, 2016 Accepting new patients
Upstate Dermatopathology PLLC Dermatopathology CurrentSince Dec 1, 2023 Accepting new patients
Pinkus Dermatopathology Laboratory, PC CurrentSince Jul 1, 2012 Accepting new patients
Audrey Bruell, M.D. P.C. Current Accepting new patients
Pinnacle Dermatology, SC CurrentSince Dec 24, 2022 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Past Accepting new patients
Lorna G. Pinson, MD PLLC PastSince Jan 30, 2023 Accepting new patients

Locations

2101 Brookstone Centre Pkwy
Ste 300
Columbus, GA 31904
Phone (706) 256-1133

16344 Collections Cntr Dr
Chicago, IL 60693

1080 S Van Dyke Rd
#400
Bad Axe, MI 48413
Phone (810) 245-7766

37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931

1314 N Macomb St
Monroe, MI 48162
Phone (734) 242-6872

6400 Sheridan Dr
Ste 224
Williamsville, NY 14221
Phone (716) 334-0357

94 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-2673

300 Kenton Dr
Ste 2
Charleston, WV 25311
Phone (304) 345-1966

Organizations & group practices 8

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1053547885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623131",
            "telephone_number": "734-242-6872",
            "fax_number": "734-242-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623131",
            "telephone_number": "734-242-6872",
            "fax_number": "734-242-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "LIAQAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "74802",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "4301100629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171153A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.