Individual provider Active NPI

Adil Ali, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ypsilanti, MI
National Provider Identifier
1730213240
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4301088175 Issued in MI
Practice address
5333 McAuley Drive
Suite 2009
Ypsilanti, MI 48197-1014
Phone
(734) 172-0050
Fax
(734) 712-0055
NPI assigned
Mar 15, 2007
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD439784 PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA08725900 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301088175 MI Primary

Addresses

Primary practice location

5333 McAuley Drive
Suite 2009
Ypsilanti, MI 48197-1014

Mailing address

5333 McAuley Drive
Suite 2009
Ypsilanti, MI 48197-1014
Phone (734) 172-0050

Other identifiers 2

IdentifierTypeStateIssuer
250110020OtherMIBCBS OF MICHIGAN
1730213240MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adil.ali@stjoeshealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000443 MI Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6507055803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Rutgers New Jersey Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Physical Medicine and Rehabilitation PCGroup PAC ID 2163481854, 15 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 2009
Ypsilanti, MI 48197-1095
Phone (734) 712-0077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439784PAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care Medicine LLC Pain Medicine Past Accepting new patients
Rwjbh Primary Care Services PastSince Oct 2, 2021 Accepting new patients
Performance Spine & Sports Medicine PastSince Apr 28, 2024 Accepting new patients
Bucks County Internal Medicine PC Past Accepting new patients
Performance Spine & Sports Medicine PastSince May 17, 2009 Accepting new patients
Manalapan Medical Center PA PC PastSince Jul 11, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adilali@aipmr.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1730213240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 2009",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-172-0050",
            "fax_number": "734-712-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 2009",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-172-0050",
            "fax_number": "734-712-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ADIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD439784",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08725900",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301088175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "250110020",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730213240",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adil.ali@stjoeshealth.org",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "5333 McAuley Drive",
            "address_2": "Suite 2009",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.