Dima Al Ta'Any, MD

Key facts

NPI

1629258272

Entity type

Individual (NPI type 1)

Primary specialty

Neonatal-Perinatal Medicine Physician 2080N0001X

License

4301090351 (MI)

Practice address

18101 Oakwood Blvd Ste 124
Dearborn, MI 48124-4089

Phone

(313) 593-7490

Fax

(313) 736-2082

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 7

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.

• Beaumont Medical Group Hospital -Based Services Hospitalist Physician · Royal Oak, MI · NPI 1427567858
  Medicare reassignment NPD MI
• Oakwood Ambulatory LLC Internal Medicine Physician · Dearborn, MI · NPI 1003829441
  Medicare reassignment NPD MI · PEDIATRICS
• University Pediatricians Pediatrics Physician · Detroit, MI · NPI 1811920549
  Medicare reassignment NPD MI · PEDIATRICS
• Oakwood Ambulatory, LLC Podiatrist · Westland, MI · NPI 1013157361
  NPD
• University Pediatricians Psychologist · Detroit, MI · NPI 1124265335
  NPD
• University Pediatricians Pediatrics Physician · Detroit, MI · NPI 1184471690
  NPD PEDIATRICS
• Oakwood Healthcare, Inc. General Acute Care Hospital · Dearborn, MI · NPI 1740230119
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daltaany1223105@epic00.shdirect.org

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2022.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1629258272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD STE 124",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7490",
            "fax_number": "313-736-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL TA'ANY",
        "first_name": "DIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301090351",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301090351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daltaany96897@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18101 Oakwood Blvd Ste 124",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

• Afrah Al Jashaam
• Hussein Al Khafaji
• Shaymaa Zuhair Al Saffar
• Mohomad Al Sawah, DPM
• Mohmmed Yazeed Al Shihabi, MD
• Shatha Al Zaidi
• Sena Al-Ado
• Saleh Al-Ameen, M.D
• Kowthar Al-Arithy
• Alia Christine Al-Atabi

All providers in Dearborn, MI · Neonatal-Perinatal Medicine Physician in Michigan