MUSTAFA ALI MD
NPI 1114772894
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Mustafa Ali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAFA ALI MD (NPI 1114772894) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351052902) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mustafa Ali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mustafa Ali's NPI number?
The NPI number for Mustafa Ali is 1114772894. It was assigned to this individual provider in the NPPES registry on April 17, 2024.
Where is Mustafa Ali located?
Mustafa Ali practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1601.
What is Mustafa 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 Mustafa Ali enrolled in Medicare?
Yes. Mustafa Ali is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mustafa Ali was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mustafa Ali, MD · NPI 1114772894
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 17, 2024.
## Identity
- **NPI:** 1114772894 (Entity type: Individual)
- **Enumerated:** April 17, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351052902 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2689
- **Phone:** (313) 916-1601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114772894) · Data from the CMS NPPES public registry.