Individual provider Active NPI

Ali N Ali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
National Provider Identifier
1538540349
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002719 Issued in MI
Practice address
22190 Garrison St Ste 300
Dearborn, MI 48124-2235
Phone
(313) 558-8444
Fax
(313) 558-8448
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002719 MI Primary

Addresses

Primary practice location

22190 Garrison St Ste 300
Dearborn, MI 48124-2235

Mailing address

22190 Garrison St Ste 300
Dearborn, MI 48124-2235
Phone (313) 558-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180516002723 MI Practitioner - Podiatry 0446514632 Reassigns benefits to 1 organization
I20240220002916 OH Practitioner - Podiatry 0446514632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10222 Lapeer Rd
Davison, MI 48423-8208
Phone (313) 558-8444

1525 E Pierson Rd
Flushing, MI 48433-1816
Phone (313) 558-8444

22190 Garrison St
Suite 300
Dearborn, MI 48124-2235
Phone (313) 558-8444

3100 Wyndham Dr
Flushing, MI 48433-2290
Phone (313) 558-8444

3128 W Sylvania Ave
Toledo, OH 43613-4132
Phone (419) 471-0079

3200 Wyndham Dr
Flushing, MI 48433-2291
Phone (313) 558-8444

3565 S Adams Rd
Rochester Hills, MI 48309-3157
Phone (313) 558-8444

44401 S I 94 Servce Dr
Van Buren Township, MI 48111-2482
Phone (313) 558-8444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions92
Removal of nail tissue1172
Removal or shaving of skin growth519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002719MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Foot and Ankle Specialist Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Ana Groups LLC Foot & Ankle Surgery CurrentSince May 8, 2018 Accepting new patients

Locations

22190 Garrison St
Ste 300
Dearborn, MI 48124
Phone (313) 558-8444

3200 Wyndham Dr
Flushing, MI 48433
Phone (313) 558-8444

3128 W Sylvania Ave
Toledo, OH 43613
Phone (419) 471-0079

Organizations & group practices 2

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1538540349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-558-8444",
            "fax_number": "313-558-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-558-8444",
            "fax_number": "313-558-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ALI",
        "middle_name": "N",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.