Eman Ali
Individual provider Active NPI Family Nurse Practitioner · Dearborn Heights, MI
NPI 1467065458 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1467065458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704301912 (MI)
- Practice address
- 3902 Monroe St
Dearborn Heights, MI 48125-2545 - Phone
- (313) 562-1985
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401000241 | MI | Practitioner - Nurse Practitioner | 5890133573 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Center PLLC | Current |
Accepting new patients | |
| Care Well Medical Center PLLC | Past | Accepting new patients | |
| Carenow Urgent Care | 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) 562-1985
3702 Oakwood Blvd
Melvindale, MI 48122
Phone (313) 406-6363
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
- eman.ali.1@23214.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704301912 | MI | Yes |
Addresses
Primary practice location
3902 Monroe St
Dearborn Heights, MI 48125-2545
Mailing address
3077 Grindley Park St
Dearborn, MI 48124-4522
Other providers in Dearborn Heights, MI
- Forkan Alhillo
- Zinah Alhusaini
- Amani Alhussein
- Aula Ali-Saloum
- Afanine M Ali
- Naiff Ali
- Raghdaa Abdul-Hassan Ali II
- Sana Ali
- Sedra Ali
- Muhammed Alisawi
All providers in Dearborn Heights, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.