Individual provider Active NPI

Fadi Alali, M.D

  • Gastroenterology Physician
  • Jackson, MI
National Provider Identifier
1104073022
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301092799 Issued in MI
Practice address
744 W Michigan Ave Ste 201
Jackson, MI 49201-1900
Phone
(517) 205-7618
Fax
(517) 205-7639
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301092799 MI
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4301092799 MI Primary

Addresses

Primary practice location

744 W Michigan Ave Ste 201
Jackson, MI 49201-1900

Mailing address

744 W Michigan Ave Ste 201
Jackson, MI 49201-1900
Phone (517) 205-7618

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
I20110719000099 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 4284802299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

744 W Michigan Ave
201 Henry Ford Allegiance Gastroenterology
Jackson, MI 49201-1900
Phone (517) 205-7618

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy209
Upper gastrointestinal (GI) endoscopy for acid reflux329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Emergency Physicians, P.C. Single Specialty CurrentSince Feb 25, 2015 Accepting new patients
Clarkston Internal Medicine, P.C. Single Specialty CurrentSince Apr 8, 2015 Accepting new patients
Henry Ford Pathology Single Specialty Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Single Specialty Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 3, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc Gastroenterology CurrentSince Sep 3, 2023 Accepting new patients
Wa Foote Memorial Hospital, Inc Single Specialty Past Accepting new patients

Locations

7188 N Main St
Clarkston, MI 48346
Phone (248) 333-1170

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

744 W Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7618

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

744 W Michigan Ave
Jackson, MI 49201
Phone (517) 768-0600

1100 E Michigan Ave
Ste 205
Jackson, MI 49201
Phone (517) 205-7618

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: falali462695@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1104073022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-205-7618",
            "fax_number": "517-205-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-205-7618",
            "fax_number": "517-205-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALALI",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092799",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301092799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.