NPIMap

Organization Active NPI

Alzohaili Medical Consultants MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Dearborn, MI
National Provider Identifier
1689979569
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ALZOHAILI MEDICAL CONSULTANTS MD PC
Practice address
5250 Auto Club Dr Ste 200
Dearborn, MI 48126-2619
Phone
(313) 914-5591
Fax
(313) 914-5580
NPI assigned
Jan 24, 2011
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mrs. Rae Anne Joerin
Title
Office Manager
Phone
(313) 914-5591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

5250 Auto Club Dr Ste 200
Dearborn, MI 48126-2619

Mailing address

5250 Auto Club Dr Ste 200
Dearborn, MI 48126-2619
Phone (313) 914-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125001230 MI Part B Supplier - Clinic/Group Practice 4981516564 Receives reassigned benefits from 33 practitioners
Practice locations: Ann Arbor, MI; Dearborn, MI; Dearborn Heights, MI; Detroit, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2012769Alzohaili Medical Consultants5250 Auto Club Drive Suite 200, Dearborn, MI 48126Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

1 William Carls Dr
Ste 202
Commerce Township, MI 48382
Phone (313) 914-5591

1 William Carls Dr
Ste 220
Commerce Twp, MI 48382
Phone (248) 579-9220

1331 Monroe St
Dearborn, MI 48124
Phone (313) 724-4810

23420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 203-5300

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1689979569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZOHAILI MEDICAL CONSULTANTS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JOERIN",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-914-5591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "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 Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.