Active NPI
Mubarak Ali
- Student in an Organized Health Care Education/Training Program
- Livonia, MI
National Provider Identifier
1689426116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Trinity Health Academic Internal Medicine-Northwest L
37595Seven Mile Rd., Suite 340
Livonia, MI 48152 - Phone
- (734) 793-2470
- NPI assigned
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Primary |
Addresses
Primary practice location
Trinity Health Academic Internal Medicine-Northwest L
37595Seven Mile Rd., Suite 340
Livonia, MI 48152
Mailing address
Trinity Health Livonia Hospital
36475 Five Mile Rd
Livonia, MI 48154
Phone (734) 655-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Academic Internal Medicine-Northwest Livonia | Single Specialty | Current | Accepting new patients |
Locations
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999
Interoperability endpoints
- mali3381570@direct.trinity-health.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.
-
- Student in an Organized Health Care Education/Training Program
- Livonia, MI
- NPI 1346060977
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1689426116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TRINITY HEALTH LIVONIA HOSPITAL",
"address_2": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-655-2727",
"fax_number": "734-655-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST L",
"address_2": "37595SEVEN MILE RD., SUITE 340",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48152",
"telephone_number": "734-793-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MUBARAK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-05",
"last_updated": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.