Individual provider Active NPI

Nehal Altaie, MD

  • Internal Medicine Physician
  • Macomb, MI
National Provider Identifier
1093379265
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301507939 Issued in MI
Practice address
46591 Romeo Plank Rd Ste 205B
Macomb, MI 48044-5705
Phone
(586) 868-9800
Fax
(586) 868-9801
NPI assigned
Apr 23, 2019
Last updated
Nov 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301507939 MI Primary

Addresses

Primary practice location

46591 Romeo Plank Rd Ste 205B
Macomb, MI 48044-5705

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829

Other practice location 1

5625 Water Tower Pl Ste 210
Clarkston, MI 48346-2674
Phone (248) 625-1011

Other practice location 2

2300 Biddle Ave
Wyandotte, MI 48192-4650
Phone (734) 246-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230915001323 MI Practitioner - Internal Medicine 3870826852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ghazwan Atto MD PCGroup PAC ID 4789694837, 12 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2300 Biddle Ave
Suite 100
Wyandotte, MI 48192-4650
Phone (734) 246-5705

5625 Water Tower PL
Suite 210
Clarkston, MI 48346-2674
Phone (248) 625-1011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301507939MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Sep 13, 2023 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Sep 13, 2023 Accepting new patients
Ghazwan Atto MD PC Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
NPI 1962953216 CurrentSince Dec 22, 2025 Accepting new patients
Fadi Delly, MD PC CurrentSince Dec 28, 2025 Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

5625 Water Tower Pl
Ste 210
Clarkston, MI 48346
Phone (248) 625-1011

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

2300 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-5705

2300 Biddle Ave
#100
Wyandotte, MI 48192
Phone (734) 246-5705

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1093379265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-999-5829",
            "fax_number": "248-641-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46591 ROMEO PLANK RD STE 205B",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445705",
            "telephone_number": "586-868-9800",
            "fax_number": "586-868-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 Water Tower Pl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462674",
            "country_code": "US",
            "telephone_number": "248-625-1011",
            "fax_number": "248-625-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Biddle Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481924650",
            "country_code": "US",
            "telephone_number": "734-246-5705",
            "fax_number": "734-246-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAIE",
        "first_name": "NEHAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301507939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.