Active NPI
F Ali MD PLLC
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1801920137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301075097
- Legal business name
- F ALI MD PLLC
- Practice address
- 1711 Monroe St
Dearborn, MI 48124-2914 - Phone
- (313) 624-0000
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fathelrahman O Ali, MD
- Title
- Owner
- Phone
- (313) 624-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301075097 | MI | Primary |
Addresses
Primary practice location
1711 Monroe St
Dearborn, MI 48124-2914
Mailing address
1711 Monroe St
Dearborn, MI 48124-2914
Phone (313) 624-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301075097 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070627000199 | MI | Part B Supplier - Clinic/Group Practice | 8820197171 |
Receives reassigned benefits from 9 practitioners Practice locations: Dearborn, MI |
National Provider Directory
National Provider Directory- Tax ID family
- F Ali MD PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1649725540
Locations
1711 Monroe St
Dearborn, MI 48124
Phone (313) 359-9361
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1326018748
Internal Medicine, MI
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1902053234
Internal Medicine, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1801920137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242914",
"telephone_number": "313-624-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242914",
"telephone_number": "313-624-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F ALI MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "FATHELRAHMAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-624-0000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301075097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301075097",
"state": "MI"
}
],
"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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.