Individual provider Active NPI

Mohammad Azhar Ali, MD

  • Plastic Surgery Physician
  • Bloomfield Township, MI
National Provider Identifier
1952385593
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301057064 Issued in MI
Practice address
43940 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone
(248) 335-7200
Fax
(248) 335-7726
NPI assigned
Dec 6, 2005
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301057064 MI Primary

Addresses

Primary practice location

43940 Woodward Ave
Ste 100
Bloomfield Township, MI 48302

Mailing address

43940 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone (248) 335-7200

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001202 MI Practitioner - Plastic and Reconstructive Surgery 3274563416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

353 S Old Woodward Ave
Birmingham, MI 48009-6255
Phone (248) 335-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
M. Azhar Ali MD PC Plastic Surgery CurrentSince May 25, 1993 Accepting new patients

Locations

353 S Old Woodward Ave
Birmingham, MI 48009
Phone (248) 335-7200

43940 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone (248) 335-7200

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

Interoperability endpoints

  • Direct secure messaging: mali8933@direct.hfhs.org

Organizations & group practices 1

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 1

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1952385593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43940 WOODWARD AVE",
            "address_2": "STE 100",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-335-7200",
            "fax_number": "248-335-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43940 WOODWARD AVE",
            "address_2": "STE 100",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-335-7200",
            "fax_number": "248-335-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMMAD",
        "middle_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301057064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

Verify at the official NPI Registry.