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ALI H DABAJA DO
NPI 1053688952
Emergency Medicine in Dearborn, MI

Active since November 20, 2011PECOS EnrolledAccepts Medicare Assignment
116 S DENWOOD ST, DEARBORN, MI 48124(734) 266-2780(734) 466-9615 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2020, Nov 7, 2016, Nov 27, 2015 and 1 more (4 updates tracked since 2015).

About Ali H Dabaja Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI H DABAJA DO (NPI 1053688952) is an individual emergency medicine provider in Dearborn, Michigan, licensed in Wisconsin (66361) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Michigan State University College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1053688952
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALI H DABAJACredential: DO
Location Address116 S DENWOOD STDearborn, MI 48124-1310
Mailing AddressDept 259301, P O Box 67000Detroit, MI 48267-2593 · (734) 266-2780 · Fax (734) 466-9615
Phone(734) 266-2780
Fax(734) 466-9615
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2008
Enumeration DateNovember 20, 2011
Last NPPES UpdateJanuary 24, 20204 updates tracked since enumeration
✔ NPI 1053688952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 66361✔ Licensed in MI · 5101020852
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 5101020852 (MI)
116 S DENWOOD ST, Dearborn, MI 48124
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Other Identifiers 1

Medicaid1053688952MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ali H Dabaja Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901051580
PECOS Enrollment IDI20140728000687
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ali Dabaja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine Partners, PC
Same address
Critical Care Medicine
116 S DENWOOD ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
NPI 1437120185 (734) 467-4150
St Mary Mercy Hospital Professional
8.6 mi
General Acute Care Hospital
36475 5 MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 124 clinicians in this Medicare group
NPI 1528145554 (734) 655-4800
Emergency Professionals Of Michigan PC
  • Reassigned Medicare billing, Michigan enrollment
  • 163 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
312 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services26 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRITICAL CARE MEDICINE PARTNERS, PC
Internal Medicine (Critical Care Medicine)
116 S DENWOOD ST
DEARBORN, MI 48124
Wayne County (734) 467-4150
JAMES T LOVE M.D.
Internal Medicine (Critical Care Medicine)
116 S DENWOOD ST
DEARBORN, MI 48124
Wayne County (734) 467-4150
MONA Z OBEIDY MD
Internal Medicine (Critical Care Medicine)
116 S DENWOOD ST
DEARBORN, MI 48124
Wayne County (734) 467-4150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Dabaja's NPI number?

The NPI number for Ali Dabaja is 1053688952. It was assigned to this individual provider in the NPPES registry on November 20, 2011.

Where is Ali Dabaja located?

Ali Dabaja practices at 116 S Denwood St, Dearborn, MI 48124. The listed phone number is (734) 266-2780.

What is Ali Dabaja's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ali Dabaja enrolled in Medicare?

Yes. Ali Dabaja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ali Dabaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Dabaja reassigns Medicare benefits to 3 organizations: Critical Care Medicine Partners, PC (Dearborn, MI), St Mary Mercy Hospital Professional (Livonia, MI) and Emergency Professionals Of Michigan PC (MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ali Dabaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Dabaja accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Ali Dabaja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Dabaja affiliated with any hospitals?

According to CMS data, Ali Dabaja is affiliated with Beaumont Hospital Royal Oak, Corewell Health Wayne Hospital and Corewell Health Trenton Hospital.

When was this NPI record last updated?

The NPPES record for Ali Dabaja was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.