Ali Hijazi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704382774 Issued in MI

Practice address

15301 Tireman Ave Ste B
Dearborn, MI 48126-1045

Phone

(313) 358-6586

NPI assigned

Sep 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Medical Group PLLCGroup PAC ID 3375995046, 2 clinicians

Prime Family Care LLCGroup PAC ID 0446605018, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGGCDD/Endpoint/CGGCDD

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.

• Prime Family Care LLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1164200267
  Medicare reassignment Care Compare group NPD Authorized official
• International Medical Group PLLC

  • Multi-Specialty Clinic/Center
  • Dearborn, MI
  • NPI 1255111217
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801674908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045",
            "telephone_number": "313-358-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704382774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Hicks
• Nadia Hider, RPH
• Alia Higgins, DC
• Raevyn Highgate
• Ahmad Hijazi, D.O.
• Hamza Hijazi
• Heather Marie Hilden, BCBA, LBA
• Alexander Michael Hill
• Brittany T Hill
• Danielle Hill

• Family Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.