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IJAZ ALI PHYSICIAN, M.D
NPI 1073360525
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since May 02, 2024PECOS Enrolled
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT., PONTIAC, MI 48341(248) 858-6233(248) 858-3244 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, May 2, 2024 (2 updates tracked since 2024).

About Ijaz Ali Physician, M.d NPPES

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

IJAZ ALI PHYSICIAN, M.D (NPI 1073360525) is an individual student in an organized health care education/training program in Pontiac, Michigan, licensed in Michigan (4351053185) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073360525
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIJAZ ALICredential: PHYSICIAN, M.D
Location Address44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT.Pontiac, MI 48341
Mailing Address44405 Woodward Ave Trinity Health Oakland, Graduate Medical Education Dept.Pontiac, MI 48341 · (248) 858-6233 · Fax (248) 858-3244
Phone(248) 858-6233
Fax(248) 858-3244
Sole ProprietorNo
Enumeration DateMay 2, 2024
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
✔ NPI 1073360525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351053185
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

44405 WOODWARD AVE TRINITY HEALTH OAKLAND, Pontiac, MI 48341
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ijaz Ali Physician, M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

YAGNYA DARSHIT DALAL
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT
PONTIAC, MI 48341
Oakland County (248) 858-6233
MISS SAI SANTHOSHA MRUDULA ALLA M.D.
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT
PONTIAC, MI 48341
Oakland County (248) 858-6233
DR. ROOPEESSH VEMPATI MD
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT.
PONTIAC, MI 48341
Oakland County (248) 858-6233

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 Ijaz Ali's NPI number?

The NPI number for Ijaz Ali is 1073360525. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Ijaz Ali located?

Ijaz Ali practices at 44405 Woodward Ave Trinity Health Oakland Graduate Medical Education Dept., Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Ijaz Ali's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ijaz Ali enrolled in Medicare?

Yes. Ijaz Ali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ijaz Ali was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.