Active NPI
Ali Baban
- Acute Care Nurse Practitioner
- Dearborn, MI
National Provider Identifier
1235043027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704385266NSA260Q7
- Practice address
- 22130 Audette St
Dearborn, MI 48124-4702 - Phone
- (313) 600-7592
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704385266NSA260Q7 | MI | Primary |
Addresses
Primary practice location
22130 Audette St
Dearborn, MI 48124-4702
Mailing address
22130 Audette St
Dearborn, MI 48124-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1235043027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22130 AUDETTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22130 AUDETTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244702",
"telephone_number": "313-600-7592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABAN",
"first_name": "ALI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704385266NSA260Q7",
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.