Individual provider Active NPI

Shagufta Naz Ali, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1437178753
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301082394 Issued in MI
Practice address
G3200 Beecher Rd Ste 2
Flint, MI 48532-3651
Phone
(810) 342-5515
NPI assigned
Jul 18, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 4301082394 MI Primary

Addresses

Primary practice location

G3200 Beecher Rd Ste 2
Flint, MI 48532-3651

Mailing address

G3200 Beecher Rd Ste O2
Flint, MI 48532-3613
Phone (810) 342-2534

Other identifiers 4

IdentifierTypeStateIssuer
11OB561250OtherMIBCBSM COM BLUE CHOICE
4893191MedicaidMA
1021094OtherMIHAN MHP
CA5169 PO03272814OtherMIMETRAHEALTH

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
I20060804000340 MI Practitioner - Internal Medicine 1052314366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638

G3200 Beecher Rd
Suite Mbi
Flint, MI 48532-3613
Phone (810) 342-5470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082394MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
McLaren Flint CurrentSince Apr 1, 2012 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients

Locations

G3200 Beecher Rd
Ste O2
Flint, MI 48532
Phone (810) 342-5470

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

G3200 Beecher Rd
Ste 2
Flint, MI 48532
Phone (810) 342-4881

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Organizations & group practices 5

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1437178753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3200 BEECHER RD STE O2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323613",
            "telephone_number": "810-342-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3200 BEECHER RD STE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323651",
            "telephone_number": "810-342-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAGUFTA",
        "middle_name": "NAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM COM BLUE CHOICE",
            "identifier": "11OB561250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4893191",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAN MHP",
            "identifier": "1021094",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "CA5169  PO03272814",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.