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NEHAL ALTAIE MD
NPI 1093379265
Internal Medicine in Clarkston, MI

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
99.66/100
CMS Quality Rating
5625 WATER TOWER PL STE 210, CLARKSTON, MI 48346(248) 625-1011(248) 625-0226 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 22, 2025, Apr 23, 2019 (2 updates tracked since 2019).

About Nehal Altaie Md NPPES

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

NEHAL ALTAIE MD (NPI 1093379265) is an individual internal medicine provider in Clarkston, Michigan, licensed in Michigan (4301507939) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Wyandotte Hospital, and maintains a secondary practice location in Wyandotte.

NPPES Registry Identity

NPI1093379265
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEHAL ALTAIECredential: MD
Location Address5625 WATER TOWER PL STE 210Clarkston, MI 48346-2674
Mailing Address2300 Biddle AveWyandotte, MI 48192-4650 · (734) 246-5705 · Fax (734) 246-5750
Phone(248) 625-1011
Fax(248) 625-0226
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 23, 2019
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1093379265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301507939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5625 WATER TOWER PL STE 210, Clarkston, MI 48346
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Secondary Practice Location 1

Location 12300 Biddle AveWyandotte, MI 48192-4650 · Phone (734) 246-5705 · Fax (734) 246-5750

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nehal Altaie Md 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 ID3870826852
PECOS Enrollment IDI20230915001323
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services95 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.31
Promoting Interoperability100
Improvement Activities40

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Kelly ***** January 19, 2024

5/5
This Doctor is absolutely wonderful. She listens and I can tell has a lot of empathy.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 Nehal Altaie's NPI number?

The NPI number for Nehal Altaie is 1093379265. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Nehal Altaie located?

Nehal Altaie practices at 5625 Water Tower Pl Ste 210, Clarkston, MI 48346. The listed phone number is (248) 625-1011.

What is Nehal Altaie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nehal Altaie enrolled in Medicare?

Yes. Nehal Altaie 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.

What insurance does Nehal Altaie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nehal Altaie 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 Nehal Altaie affiliated with any hospitals?

According to CMS data, Nehal Altaie is affiliated with Henry Ford Health Wyandotte Hospital and Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Nehal Altaie was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.