Life Beyond MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFE BEYOND MD PLLC

Doing business as

Life Beyond MD PLLC
Life Beyond MD

Practice address

23100 Cherry Hill St Ste 9
Dearborn, MI 48124-1449

Phone

(313) 747-2007

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Rida, MDNPI 1619460110

Title

Owner

Phone

(313) 478-6840

Specialties & licenses 1

Addresses

Other names 2

• LIFE BEYOND MD PLLC Doing business as
• Life Beyond MD Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Ali Rida, MD

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1619460110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1730941774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 9",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-747-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 9",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-747-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BEYOND MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "RIDA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-478-6840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE BEYOND MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Beyond MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ted Arthur Lezotte, PHYSICAL THERAPIST
• LFC Pharmacy LLC
• Aron Liaw, MD
• Liberty Cardiolvascular Group PLLC
• Axel Lichtenberg
• Life Medical Center Urgent Care PLC
• Life Pharmacy LLC
• Life-Line Diagnostics, Inc.
• Life-Line Home Health, Inc.
• Life-Line Imaging Holding, LLC

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.