NPIMap

Individual provider Active NPI

Jarred Ali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
National Provider Identifier
1053971390
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5951001348 Issued in MI
Practice address
1628 Ford Ave
Wyandotte, MI 48192-2304
Phone
(734) 284-1333
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5951001348 MI Primary

Addresses

Primary practice location

1628 Ford Ave
Wyandotte, MI 48192-2304

Mailing address

5450 Fort St
Trenton, MI 48183-4601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014000198 MI Practitioner - Podiatry 0547636649 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates Clinic PLLCGroup PAC ID 0749663797, 7 clinicians
Foot and Ankle Associates in Patient PLLCGroup PAC ID 2668855727, 7 clinicians
Foot and Ankle Associates NH Care PLLCGroup PAC ID 5496138943, 4 clinicians

Practice addresses (Care Compare)

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions1-10
Removal of nail tissue475
Removal or shaving of skin growth53
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001348MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates Home Visits PLLC Foot & Ankle Surgery CurrentSince Oct 11, 2022 Accepting new patients
Foot and Ankle Associates in Patient PLLC Foot & Ankle Surgery CurrentSince Oct 11, 2022 Accepting new patients
Foot and Ankle Associates NH Care PLLC Foot & Ankle Surgery CurrentSince Oct 11, 2022 Accepting new patients
Foot and Ankle Associates Clinic PLLC Foot & Ankle Surgery CurrentSince Oct 11, 2022 Accepting new patients
Khalil & Usen DPM, PC Foot & Ankle Surgery CurrentSince Dec 8, 2025 Accepting new patients

Locations

23077 Greenfield Rd
Ste 255
Southfield, MI 48075
Phone (248) 559-5200

24566 Southfield Rd
Southfield, MI 48075
Phone (248) 423-4220

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

1628 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-1311

Interoperability endpoints

  • Direct secure messaging: jali@ffaas-mi.direct.office.nextgen.com
  • Direct secure messaging: jali539067@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1053971390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "JARRED",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.