Individual provider Active NPI

Allison Ploskonka, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1740878008
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010610 Issued in MI
Practice address
20200 Outer Dr
Dearborn, MI 48124-2634
Phone
(313) 624-8417
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010610 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

20200 Outer Dr
Dearborn, MI 48124-2634

Mailing address

20200 Outer Dr
Dearborn, MI 48124-2634

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406000617 MI Practitioner - Physician Assistant 0941696652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 468-1600

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 438-7880

20200 Outer Dr
Dearborn, MI 48124-2634
Phone (313) 924-8417

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010610MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
Henry Ford Physician Partners CurrentSince Jan 1, 2025 Accepting new patients

Locations

20200 Outer Dr
Dearborn, MI 48124
Phone (313) 624-8417

39000 7 Mile Rd
Livonia, MI 48152
Phone (734) 464-0400

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

Interoperability endpoints

  • Direct secure messaging: asabo409494@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1740878008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20200 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242634",
            "telephone_number": "313-624-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSKONKA",
        "first_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010610",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.