NPIMap

Individual provider Active NPI

Fathelrahman Omer Ali, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1326018748
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075097 Issued in MI
Practice address
2040 Monroe St
Suite # 207
Dearborn, MI 48124-2950
Phone
(313) 278-5836
Fax
(313) 278-5846
NPI assigned
Jan 26, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075097 MI Primary

Addresses

Primary practice location

2040 Monroe St
Suite # 207
Dearborn, MI 48124-2950

Mailing address

2040 Monroe St
Suite # 207
Dearborn, MI 48124-2950
Phone (313) 278-5836

Other identifiers 1

IdentifierTypeStateIssuer
4787887MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040406000263 MI Practitioner - Internal Medicine 4284627233 Reassigns benefits to 2 organizations
I20251223001714 OK Practitioner - Internal Medicine 4284627233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthfirst Physicians Management Services, Inc.Group PAC ID 4183674500, 31 clinicians
F Ali MD PLLCGroup PAC ID 8820197171, 5 clinicians
Baco Care Services LLCGroup PAC ID 6103286737, 13 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-6406

2040 Monroe St
Dearborn, MI 48124-2950
Phone (313) 278-5836

26911 Northwestern Hwy
Suite 530
Southfield, MI 48033-4717
Phone (313) 530-5494

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baco Care Services LLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
F Ali MD PLLC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Healthfirst Physicians Management Services, Inc Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
F. Ali M.D. PLLC Internal Medicine Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

2040 Monroe St
Ste 207
Dearborn, MI 48124
Phone (313) 278-5836

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1326018748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE # 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-278-5836",
            "fax_number": "313-278-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE # 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-278-5836",
            "fax_number": "313-278-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FATHELRAHMAN",
        "middle_name": "OMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4787887",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.