NPIMap

Individual provider Active NPI

Ali Harb, MD

  • Vascular & Interventional Radiology Physician
  • Detroit, MI
National Provider Identifier
1588787808
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
4301086148 Issued in MI
Practice address
3990 John R St
Detroit, MI 48201-2059
Phone
(313) 745-8411
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 4301086148 MI Primary
Diagnostic Radiology Physician 2085R0202X 4301086148 MI

Addresses

Primary practice location

3990 John R St
Detroit, MI 48201-2059

Mailing address

4201 Saint Antoine St # 3L-8
Detroit, MI 48201-2153
Phone (313) 745-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000633 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0143408195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086148MIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Jan 15, 2018 Accepting new patients
VHS Physicians of Michigan CurrentSince May 21, 2022 Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology CurrentSince Dec 16, 2018 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince Jan 15, 2018 Accepting new patients
A&a Vascular, PLLC Vascular & Interventional Radiology CurrentSince Apr 24, 2023 Accepting new patients
Michigan Interventional Radiology Associates, PC Past Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4201 Saint Antoine St
#3L8
Detroit, MI 48201
Phone (313) 745-3430

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

37504 7 Mile Rd
Livonia, MI 48152
Phone (734) 658-8088

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: ali.harb.1@28874.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1588787808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 3L-8",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012059",
            "telephone_number": "313-745-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARB",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301086148",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301086148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.