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DR. ABDALLA ABDALLA-ALI MD NPI 1134101074


NPI Information

NPI: 1134101074
Provider Name: DR. ABDALLA ABDALLA-ALI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3955 PATIENT CARE WAY
SUITE B
LANSING, MI
ZIP 48911
Phone: (517) 882-6643
Get Directions

DR. Abdalla Abdalla-ali, MD is a pediatrics in Lansing, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Abdalla Abdalla-ali, MD NPI is 1134101074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3955 PATIENT CARE WAY
SUITE B
LANSING, MI
ZIP 48911-299
Phone: (517) 882-6643
Fax: (517) 882-1949

The NPI 1134101074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 7/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301065971MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203742OTHERMICHIGANMCLAREN HEALTH PLAN
2203742OTHERMICHIGANHEALTH ADVANTAGE NETWORK
3350D410030OTHERMICHIGANBLUE CROSS BLUE SHIELD
44416510MEDICAIDMICHIGAN
5G87637OTHERMICHIGANHEALTH NET FED SERVICES
6350D410030OTHERMICHIGANCOMMUNITY BLUE PPO
71200183OTHERMICHIGANPHYSICIANS HEALTH PLAN
8350D410030OTHERMICHIGANBLUE CARE NETWORK
9G87637MEDICARE UPINMICHIGAN
104871668MEDICAIDMICHIGAN
11350D410030OTHERMICHIGANBLUE CHOICE
12330485OTHERMICHIGANBLUE CROSS BLUE SHIELD
13350C361520OTHERMICHIGANBLUE CROSS BLUE SHIELD
14OM28420014MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
154155272MEDICAIDMICHIGAN
165517663OTHERMICHIGANAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.