Active NPI
Nuzhat J. Ali, M.D
- Pediatrics Physician
- Flint, MI
National Provider Identifier
1295897841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301089199
- Practice address
- 1335 S Linden Rd
Suite a
Flint, MI 48532-3420 - Phone
- (810) 733-0010
- Fax
- (810) 733-0011
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Flint, MI
- NPI 1467782805
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1306399068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301089199 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Pediatrics and Adolescents | Past | Accepting new patients | |
| Obstetrics & Gynecology of Greater Flint PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAAFAD/Endpoint/BAAFAD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301089199 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1335 S Linden Rd
Suite a
Flint, MI 48532-3420
Mailing address
1335 S Linden Rd
Suite a
Flint, MI 48532-3420
Phone (810) 733-0010
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3506910442 | Other | MI | BCBSM |
| 5197150 | Medicaid | MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2011.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1295897841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 S LINDEN RD",
"address_2": "SUITE A",
"city": "FLINT",
"state": "MI",
"postal_code": "485323420",
"telephone_number": "810-733-0010",
"fax_number": "810-733-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 S LINDEN RD",
"address_2": "SUITE A",
"city": "FLINT",
"state": "MI",
"postal_code": "485323420",
"telephone_number": "810-733-0010",
"fax_number": "810-733-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "NUZHAT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301089199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "3506910442",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5197150",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.