Individual provider Active NPI

Emaad Alqosimi

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1265342273
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12285 Gallagher St
Detroit, MI 48212-2742
Phone
(313) 985-5485
NPI assigned
Sep 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

12285 Gallagher St
Detroit, MI 48212-2742

Mailing address

12285 Gallagher St
Detroit, MI 48212-2742
Phone (313) 985-5485

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": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1265342273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 GALLAGHER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122742",
            "telephone_number": "313-985-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 GALLAGHER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122742",
            "telephone_number": "313-985-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQOSIMI",
        "first_name": "EMAAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.