Active NPI
Tarik Atif Ali, DO
- Family Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101025422
- Practice address
- 5901 W Vernor Hwy
Detroit, MI 48209-2180 - Phone
- (313) 554-4357
- Fax
- (313) 554-1565
- NPI assigned
- Dec 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101025422 | MI | Primary |
Addresses
Primary practice location
5901 W Vernor Hwy
Detroit, MI 48209-2180
Mailing address
15408 Auburndale St
Livonia, MI 48154-3128
Phone (734) 788-9466
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Vans Ave
Coldwater, MI 49036-1724
Phone (313) 413-3709
24680 Swanson Rd
Suite a
Southfield, MI 48033-2415
Phone (313) 413-3709
28651 Hoover Rd
Warren, MI 48093-4105
28653 Hoover Rd
Warren, MI 48093-4105
Phone (313) 413-3709
9925 Dix
Suite 103
Dearborn, MI 48120-1593
Phone (313) 413-3709
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Health Urgent Care PLLC | Single Specialty | Current | Accepting new patients |
| Aoun Medical Group PLLC | Single Specialty | Current | Accepting new patients |
| Ali Health Primary Care PLLC | Single Specialty | Current | Accepting new patients |
| Modini Liyanage PLLC | Single Specialty | Current | Accepting new patients |
| Tri-Unity Infusion Services, LLC | Past | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients |
Locations
1 Vans Ave
Coldwater, MI 49036
Phone (313) 413-3709
9925 Dix
Ste 103
Dearborn, MI 48120
Phone (313) 413-3709
9925 Dix
Ste 102
Dearborn, MI 48120
Phone (313) 377-6396
5901 W Vernor Hwy
Detroit, MI 48209
Phone (313) 207-5767
28653 Hoover Rd
Warren, MI 48093
Phone (313) 413-3709
28651 Hoover Rd
Warren, MI 48093
Phone (313) 413-3709
1203 S Wayne Rd
Westland, MI 48186
Phone (248) 719-8117
Interoperability endpoints
- https://api.platform.athenahealth.com/22896/brand/1/csg/1/fhir/r4
- tarik.ali.1@29427.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Henry Ford Warren Hospital
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Home Infusion Therapy Pharmacy
- New Buffalo, MI
- NPI 1457339228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637452800000",
"number": "1477068310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15408 AUBURNDALE ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543128",
"telephone_number": "734-788-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W VERNOR HWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092180",
"telephone_number": "313-554-4357",
"fax_number": "313-554-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "TARIK",
"middle_name": "ATIF",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-13",
"last_updated": "2021-11-21",
"certification_date": "2021-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "5101025422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.