Organization Active NPI

Ali Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Warren, MI
National Provider Identifier
1548635121
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301101847 Issued in MI
Legal business name
ALI ENDOCRINOLOGY PC
Practice address
28001 Schoenherr Rd Ste 1
Warren, MI 48088-4396
Phone
(810) 985-6227
Fax
(810) 985-6221
NPI assigned
Dec 7, 2015
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Jennifer E Fraley
Title
Practice Manager
Phone
(810) 204-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105000815 MI Part B Supplier - Clinic/Group Practice 8325340581 Receives reassigned benefits from 1 practitioner
Practice locations: Port Huron, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2154364Ali Endocrinology28001 Schoenherr Road Suite 1, Warren, MI 48088Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1548635121",
    "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": "810-985-6227",
            "fax_number": "810-985-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Stone St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603563",
            "country_code": "US",
            "telephone_number": "810-985-6227",
            "fax_number": "810-985-6221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALI ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "810-204-1652"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301101847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.