NPIMap

Organization Active NPI

Ali a Fadel MD PC

Doing business as bingham medical center

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1982635561
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048691 Issued in MI
Legal business name
ALI A FADEL MD PC
Doing business as
bingham medical center
Practice address
13244 W Warren Ave
Suite 1
Dearborn, MI 48126-1415
Phone
(313) 581-4450
Fax
(313) 581-7560
NPI assigned
Jul 5, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Mr. Ali A Fadel, M.D.
Title
President
Phone
(313) 581-4450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048691 MI Primary
Internal Medicine Physician 207R00000X MI

Addresses

Primary practice location

13244 W Warren Ave
Suite 1
Dearborn, MI 48126-1415

Mailing address

13244 W Warren Ave
Suite 1
Dearborn, MI 48126-1415
Phone (313) 581-4450

Other identifiers 1

IdentifierTypeStateIssuer
700H226120OtherMIBLUE CROSSS BLUE SHIELD

Other names 1

  • bingham medical center Doing business as

National Provider Directory

National Provider Directory

Locations

13244 W Warren Ave
Ste 1
Dearborn, MI 48126
Phone (313) 581-4450

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1982635561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 W WARREN AVE",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261415",
            "telephone_number": "313-581-4450",
            "fax_number": "313-581-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13244 W WARREN AVE",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261415",
            "telephone_number": "313-581-4450",
            "fax_number": "313-581-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI A FADEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "FADEL",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-4450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "048691",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSS BLUE SHIELD",
            "identifier": "700H226120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bingham medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.