Active NPI
Ammar Hassan Ali, M.D.
- Psychiatry Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301109221
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| Avera McKennan | Psychiatry | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Avera McKennan | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.