Individual provider Active NPI

Ali Khazaal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Royal Oak, MI
National Provider Identifier
1649914664
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400590 Issued in MI
Practice address
424 W 5TH St Ste 200
Royal Oak, MI 48067-2573
Phone
(313) 460-4443
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400590 MI Primary

Addresses

Primary practice location

424 W 5TH St Ste 200
Royal Oak, MI 48067-2573

Mailing address

424 W 5TH St Ste 200
Royal Oak, MI 48067-2573
Phone (313) 460-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827000903 PA Order and Referring Only - PodiatryPractitioner - Podiatry 5698276210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vandutch Medsurg PLLC Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akhazaal727046@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1649914664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W 5TH ST STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672573",
            "telephone_number": "313-460-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W 5TH ST STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672573",
            "telephone_number": "313-460-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZAAL",
        "first_name": "ALI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.