Individual provider Active NPI

Ali Ibrahim Elsaghir, MD

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1427675461
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301512699 Issued in MI
Practice address
29370 Plymouth Rd Ste 100
Livonia, MI 48150-2399
Phone
(734) 655-8200
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301512699 MI Primary

Addresses

Primary practice location

29370 Plymouth Rd Ste 100
Livonia, MI 48150-2399

Mailing address

1817 N Melborn St
Dearborn, MI 48128-1234

Other practice location 1

16815 E Jefferson Ave Ste 120
Grosse Pointe, MI 48230-1923
Phone (586) 498-4400

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
I20250609001228 MI Practitioner - Family Practice 3375923717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Central Michigan College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Iha Olma Primary Care Risk LLCGroup PAC ID 1153733324, 26 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

29370 Plymouth Rd
Suite 100
Livonia, MI 48150-2399
Phone (734) 655-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512699MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Primary Care Risk LLC CurrentSince Jul 1, 2025 Accepting new patients
Iha Olma Primary Care Risk LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Iha Olma Primary Care Risk LLC Current Accepting new patients

Locations

29370 Plymouth Rd
Ste 100
Livonia, MI 48150
Phone (734) 655-8200

37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999

Interoperability endpoints

  • Direct secure messaging: aelsaghir1232638@epic00.shdirect.org
  • Direct secure messaging: aelsaghir4492316@direct.trinity-health.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 1

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1427675461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N MELBORN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29370 PLYMOUTH RD STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502399",
            "telephone_number": "734-655-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16815 E Jefferson Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301923",
            "country_code": "US",
            "telephone_number": "586-498-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSAGHIR",
        "first_name": "ALI",
        "middle_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301512699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.