Individual provider Active NPI

Shamsa Arshad Ali, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Warren, MI
National Provider Identifier
1487780755
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301101847 Issued in MI
Practice address
28001 Schoenherr Rd Ste 1
Warren, MI 48088-4396
Phone
(586) 365-7555
Fax
(586) 365-7560
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301101847 MI Primary

Addresses

Primary practice location

28001 Schoenherr Rd Ste 1
Warren, MI 48088-4396

Mailing address

28001 Schoenherr Rd Ste 1
Warren, MI 48088-4396
Phone (586) 365-7555

Other identifiers 3

IdentifierTypeStateIssuer
1011584MedicaidLA
1487780755MedicaidMI
00882595MedicaidMS

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
I20121017000732 MI Practitioner - Endocrinology 0648361774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1201 Stone St
Suite 6
Port Huron, MI 48060-3563
Phone (810) 985-6227

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101847MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Endocrinology PC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2016 Accepting new patients

Locations

1107 Stone St
Ste 3
Port Huron, MI 48060
Phone (810) 204-4494

1201 Stone St
Ste 6
Port Huron, MI 48060
Phone (810) 985-6227

28001 Schoenherr Rd
Ste 1
Warren, MI 48088
Phone (586) 365-7555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBCFAD/Endpoint/EBCFAD

Organizations & group practices 1

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 9

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1487780755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 SCHOENHERR RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884396",
            "telephone_number": "586-365-7555",
            "fax_number": "586-365-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 SCHOENHERR RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884396",
            "telephone_number": "586-365-7555",
            "fax_number": "586-365-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAMSA",
        "middle_name": "ARSHAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301101847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011584",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487780755",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00882595",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.