Individual provider Active NPI

Ali Hajj Ahmad, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1639673759
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301503895 Issued in MI
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(313) 966-3250
NPI assigned
Mar 22, 2018
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 4301503895 MI Primary

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

6415 Orchard Ave
Dearborn, MI 48126-2007
Phone (313) 522-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220420001863 MI Practitioner - Internal Medicine 7618232513 Reassigns benefits to 3 organizations
I20220726002030 IN Practitioner - Internal Medicine 7618232513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Academic Physicians PCGroup PAC ID 0547746166, 19 clinicians
Pioneer Medical Group PLLCGroup PAC ID 5092075598, 21 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

Practice addresses (Care Compare)

6001 W Outer Dr
Suite 114
Detroit, MI 48235-2626
Phone (313) 966-9444

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

7950 W Jefferson Blvd
Lutheran Hospital of Indiana
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Unified Academic Physicians PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Ultimate Priority Plus Clinic LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Pioneer Medical Group PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

8188 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 415-2500

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1639673759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 ORCHARD AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262007",
            "telephone_number": "313-522-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJ AHMAD",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301503895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.