Riad R Dali Ahmad, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301068100 Issued in MI

Practice address

600 Health Park Blvd
Ste H
Grand Blanc, MI 48439-2558

Phone

(810) 606-7125

Fax

(810) 606-1620

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Park Medical Practice PCGroup PAC ID 1254698699, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Home Health Home health agency, Grand Blanc, MI, CCN 237073
• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
• McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
• Direct secure messaging: riaddaliahmad@pmi.allscriptsdirect.net

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.

• Health Park Medical Practice PC

  • Infectious Disease Physician
  • Grand Blanc, MI
  • NPI 1760901003
  Medicare reassignment Care Compare group NPD Authorized official
• Henry Ford Health Genesys Hospital

  • Podiatrist
  • Flint, MI
  • NPI 1528283033
  Medicare reassignment NPD
• Ascension Genesys Hospital

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD
• Ascension Genesys Hospital

  • Pediatrics Physician
  • Grand Blanc, MI
  • NPI 1225349699
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation
• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Reverence Home Health & Hospice, LLC

  • Home Health Agency
  • Grand Blanc, MI
  • NPI 1710097977
  Care Compare affiliation
• Reverence Home Health and Hospice, Inc

  • Home Health Agency
  • Grand Blanc, MI
  • NPI 1932452455
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1124130539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "STE H",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-606-7125",
            "fax_number": "810-606-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "STE H",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-606-7125",
            "fax_number": "810-606-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALI AHMAD",
        "first_name": "RIAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301068100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703466",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D Diabetic Foot Centre and Walking Institute, LLC
• Eric Da Silva, D.O.
• Zrinka Dabelic, MD
• Maria Carlota Guillermo Daclisonpt
• Martha Genevieve Daily, NNP-BC
• Denika Leflora Dalton, NP-C
• Shannon Daly
• Michael John Danic, D.O.
• Daniel T Broughton Inc
• Joanne Jean Daris

• Infectious Disease Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.

Verify at the official NPI Registry.