Active NPI
Alaa Diab, MD
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1588233522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301510876
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (313) 745-3000
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 4301510876 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
6565 N Charles St Ste 203
Towson, MD 21204-5805
Phone (443) 849-3760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LR0815992 | Other | PASSPORT | |
| 39261 | Other | GBMC EMPLOYEE ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adiab@gbmc.org |
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
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients | |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients |
Locations
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 3
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 Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1588233522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-3000"
}
],
"practiceLocations": [
{
"address_1": "6565 N Charles St Ste 203",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212045805",
"country_code": "US",
"telephone_number": "443-849-3760",
"fax_number": "443-849-8138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAB",
"first_name": "ALAA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301510876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "LR0815992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBMC EMPLOYEE ID",
"identifier": "39261",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adiab@gbmc.org",
"affiliation": "N",
"address_1": "6565 N Charles St Ste 203",
"city": "Towson",
"state": "MD",
"country_code": "US",
"postal_code": "212045805",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 1, 2024; 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.