NPIMap

Organization Active NPI

First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1750769394
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FIRST CHOICE MEDICAL GROUP PLLC
Practice address
23455 Michigan Ave
Suite B
Dearborn, MI 48124-1908
Phone
(313) 757-7207
Fax
(313) 438-6094
NPI assigned
May 15, 2015
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Ali M Hassan, MDNPI 1316906142
Title
MD
Phone
(313) 757-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

23455 Michigan Ave
Suite B
Dearborn, MI 48124-1908

Mailing address

23455 Michigan Ave
Suite B
Dearborn, MI 48124-1908
Phone (313) 757-7207

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
23D2109318First Choice Medical Group PLLC23455 Michigan Avenue Suite B, Dearborn, MI 48124Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

23455 Michigan Ave
Ste B
Dearborn, MI 48124
Phone (313) 757-7027

31450 Ford Rd
Ste B
Garden City, MI 48135
Phone (313) 438-6094

Practitioners & affiliated clinicians

Practitioners 114

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 114

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1750769394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-757-7207",
            "fax_number": "313-438-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-757-7207",
            "fax_number": "313-438-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-757-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.