Shahnaz Ali, M.D.
Individual provider Active NPI Internal Medicine Physician · Grand Rapids, MI
NPI 1922020478 · NPPES record last updated Dec 11, 2014
Key facts
- NPI
- 1922020478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301076867 (MI)
- Practice address
- 1959 E Paris Ave SE
Grand Rapids, MI 49546-6272 - Phone
- (616) 808-2695
- Fax
- (616) 808-2697
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Age Management of West Michigan PC
Center for Physical Rehabilitation Inc
Center for Physical Rehabilitation and Therapy LP
Practice addresses (Care Compare)
1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone (616) 808-2695
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
- Faith Hospice at Trillium Woods
- Emmanuel Hospice
- Corewell Health Hospice & Palliative Care - West Michigan
- Spectrum Health
- Spectrum Health United Hospital
- Corewell Health Pennock Hospital
- Corewell Health Gerber Hospital
- Mary Free Bed Rehabilitation Hospital
- Covenant Village of the Great Lakes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041229000962 | MI | Practitioner - Internal Medicine | 1153389697 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Age Management of West Michigan PC | Internal Medicine | Current |
Accepting new patients |
| Ahsl Holland Operations, LLC | Past | Accepting new patients | |
| Platinum Living LLC | Past | Accepting new patients | |
| Inpatient Consultants of Michigan PC | Internal Medicine | Past | Accepting new patients |
| Porter Hills Home Health West | Past |
Accepting new patients | |
| Covenant Living of the Great Lakes | Past | Accepting new patients | |
| Shahnaz Ali, M.D. PLLC | Internal Medicine | Past |
Accepting new patients |
| Age Management and Hormone Balance Center | Internal Medicine | Past |
Accepting new patients |
| Professional Health Services, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1959 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-3700
6117 Charlevoix Woods Ct SE
Grand Rapids, MI 49546
Phone (616) 954-2366
2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541
3650 Van Buren St
Hudsonville, MI 49426
Phone (616) 669-1520
5980 Eastern Ave SE
Kentwood, MI 49508
Phone (616) 455-7087
350 N Center St
Lowell, MI 49331
Phone (616) 894-8473
11537 Fulton St E
Lowell, MI 49331
Phone (616) 897-8413
1050 4 Mile Rd NW
Walker, MI 49544
Phone (616) 685-7000
Interoperability endpoints
- sali593@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301076867 | MI | Yes |
Addresses
Primary practice location
1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Mailing address
1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone (616) 808-2695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301076867 | Other | MI | STATE LICENSE |
| 4905354 | Medicaid | MI |
Other providers in Grand Rapids, MI
- Humza I Ali
- Jemila Ali
- Kevin F Ali
- Momin Muhammad Ali
- Rimmel Ali
- Alicia Johnson Counseling Services, LLC
- Alicia Wilder LLC
- Julie Maxine Alicki
- Jessica Rae Alighire
- Align Counseling LLC
All providers in Grand Rapids, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.