Active NPI
Doru Bali, M.D.
- Emergency Medicine Physician
- Lenox, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301080205
- Practice address
- 36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186 - Phone
- (947) 523-4040
- NPI assigned
- May 31, 2006
- Last updated
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301080205 | MI | Primary |
Addresses
Primary practice location
36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
4201 Saint Antoine St Ste 3R
Detroit, MI 48201-2153
Phone (313) 745-0003
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104771312 | Medicaid | MI | |
| 104771303 | Medicaid | MI | |
| 104760669 | Medicaid | MI | |
| DB080205 | Other | MI | BC/BS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
| Open Arms Home Health Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Urgent Care | Emergency Medicine | Current | Accepting new patients |
| Easterseals Morc Health Care, Inc. | Current | Accepting new patients | |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Emergency Medicine | Current | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
39500 W 10 Mile Rd
Ste 101A
Novi, MI 48375
Phone (248) 516-3978
22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775
Interoperability endpoints
- dbali806538@direct.hfhs.org
- doru.bali@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford GoHealth Urgent Care
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1184389876
Emergency Medicine
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
dba Easter Seals-Michigan, Inc
- Psychiatry Physician
- Auburn Hills, MI
- NPI 1376526616
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1972681187
-
- Home Health Agency
- Novi, MI
- NPI 1124982020
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Emergency Medicine
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1083651228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36555 26 MILE RD STE 1100",
"city": "LENOX",
"state": "MI",
"postal_code": "480483186",
"telephone_number": "947-523-4040"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St Ste 3R",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-0003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALI",
"first_name": "DORU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301080205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104771312",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104771303",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104760669",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MICHIGAN",
"identifier": "DB080205",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenox, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.