Afanine M Ali, PA-C
Individual provider Active NPI Physician Assistant · Dearborn Heights, MI
NPI 1265027296 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1265027296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 22350 Ford Rd
Dearborn Heights, MI 48127-2421 - Phone
- (313) 406-2410
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428002099 | MI | Practitioner - Physician Assistant | 5799193983 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- afanine.ali.1@19805.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Mailing address
6119 Williamson St
Dearborn, MI 48126-2468
Phone (313) 641-1390
Other providers in Dearborn Heights, MI
- Jamilah Jamal Alhashidi
- Forkan Alhillo
- Zinah Alhusaini
- Amani Alhussein
- Aula Ali-Saloum
- Eman Ali
- Naiff Ali
- Raghdaa Abdul-Hassan Ali II
- Sana Ali
- Sedra Ali
All providers in Dearborn Heights, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.