Individual provider Active NPI

Ammar Hassan Ali, M.D.

  • Psychiatry Physician
  • Dearborn, MI
National Provider Identifier
1669797627
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301109221 Issued in MI
Practice address
7742 Schaeffer Road
Dearborn, MI 48126-1159
Phone
(313) 473-9669
Fax
(313) 455-5025
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10170 SD
Psychiatry Physician 2084P0800X 55848 MN
Psychiatry Physician 2084P0800X 4301109221 MI Primary

Addresses

Primary practice location

7742 Schaeffer Road
Dearborn, MI 48126-1159

Mailing address

7742 Schaeffer Road
Dearborn, MI 48126-1159
Phone (313) 473-9669

Other practice location 1

4400 W 69th St Ste 1500
Sioux Falls, SD 57108-8171
Phone (605) 322-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SD2 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
I20160916001792 MI Practitioner - Psychiatry 7719124262 Reassigns benefits to 3 organizations
I20170309001243 SD Practitioner - Psychiatry 7719124262

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians
Place of Hope PLCGroup PAC ID 7618382243, 2 clinicians

Practice addresses (Care Compare)

13213 E 14 Mile Rd
Sterling Heights, MI 48312-6302
Phone (855) 996-2264

2222 N Beech Daly Rd
Suite 1
Dearborn Heights, MI 48127-3491
Phone (313) 406-9996

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Sep 10, 2023 Accepting new patients
County of Macomb CurrentSince Sep 10, 2023 Accepting new patients
Avera McKennan Psychiatry CurrentSince Feb 11, 2017 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 16, 2016 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 16, 2016 Accepting new patients
Avera McKennan CurrentSince Feb 11, 2017 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700

Interoperability endpoints

  • Direct secure messaging: ammar.ali@avera.sdhealthlink.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1669797627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 SCHAEFFER ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261159",
            "telephone_number": "313-473-9669",
            "fax_number": "313-455-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 SCHAEFFER ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261159",
            "telephone_number": "313-473-9669",
            "fax_number": "313-455-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 W 69th St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088171",
            "country_code": "US",
            "telephone_number": "605-322-5700",
            "fax_number": "605-322-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "AMMAR",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "10170",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "55848",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301109221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.