Active NPI
Family Doc Urgent Care PLLC
- Urgent Care Clinic/Center
- Dearborn Heights, MI
National Provider Identifier
1083294052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- FAMILY DOC URGENT CARE PLLC
- Practice address
- 25350 W Warren St
Dearborn Heights, MI 48127-2102 - Phone
- (313) 914-3666
- Fax
- (313) 380-0672
- NPI assigned
- Apr 13, 2021
- Last updated
- Mar 30, 2026
- 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
- Dr. Ali Ibrahim Nasrallah, MD
- Title
- President
- Phone
- (313) 914-3666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
25350 W Warren St
Dearborn Heights, MI 48127-2102
Mailing address
25350 W Warren St
Dearborn Heights, MI 48127-2102
Phone (313) 914-3666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301503083 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25350 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 914-3666
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1972096261
-
- Physician Assistant
- Troy, MI
- NPI 1043948821
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1043887532
-
- Family Nurse Practitioner
- Dearborn Heights, MI
- NPI 1437883253
-
- Physician Assistant
- Detroit, MI
- NPI 1083417950
-
- Nurse Practitioner
- Garden City, MI
- NPI 1275143273
-
- Family Nurse Practitioner
- Royal Oak, MI
- NPI 1659051407
-
- Family Health Clinical Nurse Specialist
- Troy, MI
- NPI 1730553819
-
- Family Nurse Practitioner
- Allen Park, MI
- NPI 1194592394
-
- Family Nurse Practitioner
- Allen Park, MI
- NPI 1407320559
-
- Family Nurse Practitioner
- Flint, MI
- NPI 1376354829
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1881329514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1083294052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25350 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272102",
"telephone_number": "313-914-3666",
"fax_number": "313-380-0672"
},
{
"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",
"fax_number": "313-380-0672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DOC URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-13",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "NASRALLAH",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "IBRAHIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-914-3666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301503083",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.