Individual provider Active NPI

Ali Dourra, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sylvania, OH
National Provider Identifier
1861135543
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004206 Issued in OH
Practice address
5300 Harroun Rd Ste 201
Sylvania, OH 43560-2146
Phone
(419) 885-5563
Fax
(419) 885-5439
NPI assigned
Apr 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5951001469 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004206 OH Primary

Addresses

Primary practice location

5300 Harroun Rd Ste 201
Sylvania, OH 43560-2146

Mailing address

5300 Harroun Rd Ste 201
Sylvania, OH 43560-2146
Phone (419) 885-5563

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241107002393 MI Practitioner - Podiatry 6103205943 Reassigns benefits to 1 organization
I20250721002837 OH Practitioner - Podiatry 6103205943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
61.63
Promoting interoperability
100
Improvement activities
40
Cost
81.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue96
Removal or shaving of skin growth37
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Jun 1, 2025 Accepting new patients
Onsight, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Jun 1, 2025 Accepting new patients

Locations

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

5300 Harroun Rd
Ste 201
Sylvania, OH 43560
Phone (419) 843-4836

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

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

Interoperability endpoints

  • Direct secure messaging: adourra735529@direct.hfhs.org
  • Direct secure messaging: adourra1231769@epic00.shdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1861135543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HARROUN RD STE 201",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602146",
            "telephone_number": "419-885-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HARROUN RD STE 201",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602146",
            "telephone_number": "419-885-5563",
            "fax_number": "419-885-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURRA",
        "first_name": "ALI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001469",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.