Individual provider Active NPI

Omar Ali, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
National Provider Identifier
1760665863
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301101627 Issued in MI
Practice address
6050 Greenfield Rd
Suite 101
Dearborn, MI 48126-6004
Phone
(313) 945-9000
Fax
(313) 945-7500
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P1039 TX
Cardiovascular Disease Physician 207RC0000X 4301101627 MI Primary

Addresses

Primary practice location

6050 Greenfield Rd
Suite 101
Dearborn, MI 48126-6004

Mailing address

6050 Greenfield Rd
Suite 101
Dearborn, MI 48126-6004
Phone (313) 945-9000

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
I20120718000830 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6507022589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ark Cardiovascular and Arrhythmia Center PLCGroup PAC ID 6204059470, 9 clinicians

Practice addresses (Care Compare)

1651 Kingsway CT
Trenton, MI 48183-1959
Phone (313) 945-9000

311 Mack Ave
Detroit, MI 48201-2466
Phone (313) 945-9000

3290 W Rd
Trenton, MI 48183-2322
Phone (313) 945-9000

6050 Greenfield Rd
Dearborn, MI 48126-6004
Phone (313) 945-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.29 of 100Reported as group
Quality
79.54
Promoting interoperability
100
Improvement activities
40
Cost
81.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1039TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access and Vascular Care CurrentSince Aug 1, 2015 Accepting new patients
Envision Medical Group PLLC Cardiovascular Disease CurrentSince Mar 19, 2017 Accepting new patients
Ark Cardiovascular & Arrhythmia Center PLC Interventional Cardiology CurrentSince Mar 15, 2014 Accepting new patients
Envision Medical Group PLLC CurrentSince Mar 19, 2017 Accepting new patients

Locations

756 Pipestone St
Ste 3
Benton Harbor, MI 49022
Phone (269) 252-1394

19727 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-4747

311 Mack Ave
Ste 62100
Detroit, MI 48201
Phone (248) 246-6468

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

4160 John R St
Ste 622
Detroit, MI 48201
Phone (248) 213-6466

4160 John R St
Ste 1011
Detroit, MI 48201
Phone (313) 341-1431

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

29409 Haggerty Rd
Ste 200
Novi, MI 48377

39475 Lewis Dr
Ste 110
Novi, MI 48377
Phone (248) 471-0675

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

25130 Southfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 234-6790

24333 Southfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 262-7176

3290 West Rd
Trenton, MI 48183
Phone (734) 675-4514

Interoperability endpoints

  • Direct secure messaging: oali60508@direct.hfhs.org
  • Direct secure messaging: oali3@direct.dmc.org

Organizations & group practices 4

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 7

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1760665863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-945-9000",
            "fax_number": "313-945-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-945-9000",
            "fax_number": "313-945-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P1039",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301101627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.