Individual provider Active NPI

Faisal Ridha Al-Timimi, M.D.

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1316358773
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301114254 Issued in MI
Practice address
29201 Telegraph Rd Ste 301
Southfield, MI 48034-7646
Phone
(248) 356-1321
Fax
(248) 864-8865
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 4301114254 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 301
Southfield, MI 48034-7646

Mailing address

29201 Telegraph Rd Ste 301
Southfield, MI 48034-7646
Phone (248) 356-1321

Other practice location 1

3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770
Phone (248) 551-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fridhaaltimimi1252919@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000580 MI Practitioner - Ophthalmology 7517212210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Center of Michigan PCGroup PAC ID 5092727610, 5 clinicians
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

19853 Outer Dr
Suite 102
Dearborn, MI 48124-2066
Phone (313) 561-4070

28100 Grand River Ave
Farmington Hills, MI 48336-5970

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-7646
Phone (248) 356-0098

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071

Merit-based Incentive Payment System (MIPS)

Final score
98.68 of 100Reported as group
Quality
97.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1316358773DCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Center of Michigan PC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Beaumont Medical Group- Specialty Services Single Specialty CurrentSince Jun 12, 2025 Accepting new patients
University Physician Group Single Specialty CurrentSince Jun 11, 2018 Accepting new patients
Consultants in Ophthalmic & Facial Plastic Surgery Single Specialty Past Accepting new patients

Locations

19853 Outer Dr
Ste 102
Dearborn, MI 48124
Phone (248) 357-5100

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1135 W University Dr
Ste 440
Rochester Hls, MI 48307
Phone (248) 218-5557

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

29201 Telegraph Rd
Ste 301
Southfield, MI 48034
Phone (248) 356-0098

21000 E 12 Mile Rd
Ste 108
St Clr Shores, MI 48081
Phone (248) 357-5100

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: faisal.ridha.al-timimi.1@11987.direct.athenahealth.com
  • Direct secure messaging: fridha@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: fridhaaltimimi1149113@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1316358773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347646",
            "telephone_number": "248-356-1321",
            "fax_number": "248-864-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347646",
            "telephone_number": "248-356-1321",
            "fax_number": "248-864-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 W 13 Mile Rd Ste 555",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDHA AL-TIMIMI",
        "first_name": "FAISAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301114254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fridhaaltimimi1252919@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 555",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.