NPIMap

Individual provider Active NPI

Ali Shukr, M.D.

  • Internal Medicine Physician
  • Madison Heights, MI
National Provider Identifier
1629418777
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301103702 Issued in MI
Practice address
32600 John R Rd
Madison Heights, MI 48071-1338
Phone
(248) 307-7796
Fax
(248) 307-7801
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301103702 MI Primary

Addresses

Primary practice location

32600 John R Rd
Madison Heights, MI 48071-1338

Mailing address

7319 Oakman Blvd
Dearborn, MI 48126-1526

Other practice location 1

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Other practice location 2

32600 John R Rd
Madison Heights, MI 48071-1338
Phone (248) 307-7796

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
I20160622000905 MI Practitioner - Internal Medicine 3870884844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Emergency Physicians LLP CurrentSince Jun 1, 2016 Accepting new patients
Michigan Emergency Physicians, LLP Current Accepting new patients
Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Memorial Hospital Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Hillsdale Community Health Center Past Accepting new patients
Hillsdale Community Health Center Past Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

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.

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1629418777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32600 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711338",
            "telephone_number": "248-307-7796",
            "fax_number": "248-307-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44405 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32600 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711338",
            "country_code": "US",
            "telephone_number": "248-307-7796",
            "fax_number": "248-307-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.