Individual provider Active NPI

Ali Amin, MD

  • Rheumatology Physician
  • Taylor, MI
National Provider Identifier
1770833147
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301106215 Issued in MI
Practice address
24555 Haig St
Taylor, MI 48180-3322
Phone
(313) 375-2000
NPI assigned
Sep 13, 2012
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106215 MI
Rheumatology Physician 207RR0500X 4301106215 MI Primary

Addresses

Primary practice location

24555 Haig St
Taylor, MI 48180-3322

Mailing address

4201 Saint Antoine St
University Health Center-Pod 4H
Detroit, MI 48201-2153
Phone (313) 577-1133

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-7224

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aamin108363@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161012001835 MI Practitioner - Internal Medicine 1850527920 Reassigns benefits to 3 organizations
I20220726003432 OH Practitioner - Rheumatology 1850527920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-4401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Internal Medicine CurrentSince Apr 12, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Nov 1, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Apr 12, 2022 Accepting new patients
W. a. Foote Memorial Hospital Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2019 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
W.a. Foote Memorial Hospital Internal Medicine Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

4201 Saint Antoine St
#4H
Detroit, MI 48201
Phone (248) 860-1568

1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431

1201 E Michigan Ave
Ste 100
Jackson, MI 49201
Phone (517) 205-7224

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

4304 Page Ave
Ste 200
Michigan Center, MI 49254
Phone (517) 202-7224

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 202
Sylvania, OH 43560
Phone (419) 473-6622

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: aamin108363@epicdirect.promedica.org
  • Direct secure messaging: aamin287325@direct.hfhs.org

Organizations & group practices 9

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 6

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1770833147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UNIVERSITY HEALTH CENTER-POD 4H",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 HAIG ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803322",
            "telephone_number": "313-375-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106215",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301106215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aamin108363@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.