Ali Ibrahim Nasrallah

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4351038938 Issued in MI

Practice address

25350 W Warren St
Dearborn Heights, MI 48127-2102

Phone

(313) 914-3666

Fax

(313) 380-0672

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Michigan Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Doc Clinic and Urgent Care PLLCGroup PAC ID 4688078249, 8 clinicians

Family Doc Urgent Care PLLCGroup PAC ID 7416346606, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• Garden City Hospital Hospital, Garden City, MI, CCN 230244

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Doc Clinic and Urgent Care PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1104406289
  Medicare reassignment Care Compare group NPD Authorized official
• Family Doc Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1083294052

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Medworks Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Allen Park, MI
  • NPI 1356047773
  Medicare reassignment NPD
• Physician Care Solutions P.C.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1285265983
  NPD
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Prime Healthcare Services - Garden City LLC

  • General Acute Care Hospital
  • Garden City, MI
  • NPI 1043625940
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1972096261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272102",
            "telephone_number": "313-914-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272102",
            "telephone_number": "313-914-3666",
            "fax_number": "313-380-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRALLAH",
        "first_name": "ALI",
        "middle_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351038938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Naas
• Hassan Nabhan, LLPC
• Nadene Nagi, PA
• Mustapha Najm
• Hasan Naserdean, MD
• Mariam Nasrallah, MD
• Jeenan Mohammad Nassar, FNP-C
• Zeinab A Nassar, PHARMD
• Abdul Nasser, RPH
• Foad Nasser

• Family Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.