Individual provider Active NPI

Eman Ali

  • Family Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1467065458
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704301912 Issued in MI
Practice address
3902 Monroe St
Dearborn Heights, MI 48125-2545
Phone
(313) 562-1985
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704301912 MI Primary

Addresses

Primary practice location

3902 Monroe St
Dearborn Heights, MI 48125-2545

Mailing address

3077 Grindley Park St
Dearborn, MI 48124-4522

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401000241 MI Practitioner - Nurse Practitioner 5890133573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704301912MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Center PLLC CurrentSince Mar 21, 2024 Accepting new patients
Carenow Urgent Care PastSince Feb 4, 2024 Accepting new patients
Care Well Medical Center PLLC Past Accepting new patients

Locations

7804 Allen Rd
Allen Park, MI 48101
Phone (313) 388-0033

3902 Monroe St
Dearborn Hts, MI 48125
Phone (313) 385-5585

3702 Oakwood Blvd
Melvindale, MI 48122
Phone (313) 415-1515

3702 Oakwood Blvd
Ste 1
Melvindale, MI 48122
Phone (313) 406-6363

12611 Pennsylvania Rd
Riverview, MI 48193
Phone (734) 285-5280

14797 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 281-9950

10424 Pelham Rd
Taylor, MI 48180
Phone (313) 291-6710

Interoperability endpoints

  • Direct secure messaging: eman.ali.1@23214.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1467065458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 GRINDLEY PARK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "EMAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.