Individual provider Active NPI

Ali Younes Makki, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1417235227
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301099661 Issued in MI
Practice address
25325 Ford Rd
Dearborn, MI 48128-1086
Phone
(313) 277-4146
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301099661 MI Primary

Addresses

Primary practice location

25325 Ford Rd
Dearborn, MI 48128-1086

Mailing address

550 Lincoln LN
Apartment 2004
Dearborn, MI 48126-6114
Phone (313) 442-2982

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
I20151120001122 MI Practitioner - Family Practice 4981904059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

23823 Ford Rd
Dearborn, MI 48128-1206
Phone (313) 277-4146

261 Mack Ave
Detroit, MI 48201-2417

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jan 15, 2016 Accepting new patients
Grace OB GYN PC Past Accepting new patients
VHS Rehabilitation Institute of Michigan Inc Past Accepting new patients

Locations

1 William Carls Dr
Ste 230
Commerce Twp, MI 48382
Phone (248) 360-4507

25325 Ford Rd
Ste 200
Dearborn, MI 48128
Phone (313) 357-3006

25325 Ford Rd
Dearborn, MI 48128
Phone (313) 724-0584

261 Mack Ave
Ste 188
Detroit, MI 48201
Phone (313) 745-4600

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

261 Mack Ave
Ste 215
Detroit, MI 48201
Phone (313) 966-2539

44000 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 277-3560

28800 Ryan Rd
Ste 120
Warren, MI 48092
Phone (586) 558-1221

Interoperability endpoints

  • Direct secure messaging: ali.makki.1@9704.direct.athenahealth.com
  • Direct secure messaging: amakki@direct.dmc.org

Organizations & group practices 3

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 5

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1417235227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LINCOLN LN",
            "address_2": "APARTMENT 2004",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266114",
            "telephone_number": "313-442-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-277-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKI",
        "first_name": "ALI",
        "middle_name": "YOUNES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301099661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.