Tasneem Ali
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wyoming, MI
NPI 1629864095 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1629864095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5900 Byron Center Ave SW
Wyoming, MI 49519-9606 - Phone
- (616) 252-7078
- Fax
- (616) 252-4953
- NPI assigned
- Apr 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715002071 | MI | Order and Referring Only - Family Practice |
3870008295 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Mailing address
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7078
Other providers in Wyoming, MI
- Heather Noelle Albright
- Nerlande Rosedalies Alexis
- Maria Alfonso
- Fedel Nassr Ali
- Sarah Rashid Ali
- Hamazah Alkawasmie
- Jessica Marie Alkema
- Janan Abbas Alkilidar
- Allen Surgical Care, PLLC
- Marcia Allen
All providers in Wyoming, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.