Ali Al-Khafaji
Individual provider Active NPI Physician Assistant · Sterling Heights, MI
NPI 1083569776 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1083569776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601013566 (MI)
- Practice address
- 39880 Van Dyke Ave Ste 202
Sterling Heights, MI 48313-4670 - Phone
- (313) 403-8787
- NPI assigned
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601013566 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Wound Specialists & Primary Care PLLC | Physician Assistant | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601013566 | MI | Yes |
Addresses
Primary practice location
39880 Van Dyke Ave Ste 202
Sterling Heights, MI 48313-4670
Mailing address
39880 Van Dyke Ave Ste 202
Sterling Heights, MI 48313-4670
Other providers in Sterling Heights, MI
- Sally Al Alwani
- Fatimah Al Hashimi
- Sadoon Al Khareef
- Hazim Al-Ameri
- Alaa Al-Asadi
- Raad Razouki Al-Khouri
- Victor P Al-Matchy
- Meena Al-Oshichi
- Anas Al-Sheikh
- Fahad Al-Wakeel
All providers in Sterling Heights, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.