Organization Active NPI

Ali M Dagher MD PC

  • Rheumatology Physician
  • Dearborn, MI
National Provider Identifier
1205955952
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301066833 Issued in MI
Legal business name
ALI M DAGHER MD PC
Practice address
2012 Monroe St
Ste # 106
Dearborn, MI 48124-2938
Phone
(313) 278-2450
Fax
(313) 278-2452
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Ali M Dagher, M.D.NPI 1790730257
Title
President
Phone
(313) 278-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 4301066833 MI Primary

Addresses

Primary practice location

2012 Monroe St
Ste # 106
Dearborn, MI 48124-2938

Mailing address

2012 Monroe St
Ste # 105
Dearborn, MI 48124-2938
Phone (313) 278-2450

Other identifiers 1

IdentifierTypeStateIssuer
110H233260OtherMIBCBS GROUP PRACTICE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000410 MI Part B Supplier - Clinic/Group Practice 8426031063 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

2200 Monroe St
Ste 3
Dearborn, MI 48124
Phone (313) 278-2450

2012 Monroe St
Ste 106
Dearborn, MI 48124
Phone (313) 278-2450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1205955952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "address_2": "STE # 105",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-278-2450",
            "fax_number": "313-278-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "address_2": "STE # 106",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-278-2450",
            "fax_number": "313-278-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI M DAGHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-2450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301066833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PRACTICE #",
            "identifier": "110H233260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.