Organization Active NPI

Downriver Wound Solutions PLLC

  • Emergency Medicine Physician
  • Dearborn, MI
National Provider Identifier
1225912678
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DOWNRIVER WOUND SOLUTIONS PLLC
Practice address
24837 Michigan Ave Ste 200
Dearborn, MI 48124-1712
Phone
(734) 352-9874
Fax
(313) 731-1754
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Abe Al Hage, OWNERNPI 1881222479
Title
Owner
Phone
(313) 467-8030

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
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

24837 Michigan Ave Ste 200
Dearborn, MI 48124-1712

Mailing address

24837 Michigan Ave Ste 200
Dearborn, MI 48124-1712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819004195 MI Part B Supplier - Clinic/Group Practice 1153820774 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

24837 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (734) 352-9874

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": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1225912678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24837 MICHIGAN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24837 MICHIGAN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241712",
            "telephone_number": "734-352-9874",
            "fax_number": "313-731-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER WOUND SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "AL HAGE",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-467-8030",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2025; 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.