NPIMap

Individual provider Active NPI

Ali Anees Darland Hanoosh

  • Physician Assistant
  • Madison Heights, MI
National Provider Identifier
1841066305
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012533 Issued in MI
Practice address
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone
(248) 716-8600
NPI assigned
Nov 27, 2023
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012533 MI Primary

Addresses

Primary practice location

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

Mailing address

259 Mack Ave
Detroit, MI 48201-2427
Phone (313) 577-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001522 MI Practitioner - Physician Assistant 0143753699 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Harper Woods PLCGroup PAC ID 5698145506, 14 clinicians
Southfield City Urgent Care PCGroup PAC ID 5698948354, 22 clinicians
Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians

Practice addresses (Care Compare)

19959 Vernier Rd
Suite 400
Harper Woods, MI 48225-1423
Phone (313) 499-1951

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012533MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients

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 3

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1841066305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012427",
            "telephone_number": "313-577-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-716-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLAND HANOOSH",
        "first_name": "ALI",
        "middle_name": "ANEES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.