Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABDULLA SALEH ALJABALY NP
NPI 1164174116
Nurse Practitioner - Family in Detroit, MI

Active since January 20, 2022PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD # K13, DETROIT, MI 48202(313) 982-8057 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Mar 30, 2026, Dec 27, 2025 and 1 more (4 updates tracked since 2022).

About Abdulla Saleh Aljabaly Np NPPES

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

ABDULLA SALEH ALJABALY NP (NPI 1164174116) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704350170) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164174116
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameABDULLA SALEH ALJABALYCredential: NP
Location Address2799 W GRAND BLVD # K13Detroit, MI 48202-2608
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 20, 2022
Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1164174116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704350170
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 4704350170 (MI)
2799 W GRAND BLVD # K13, Detroit, MI 48202

Secondary Practice Locations 3

Location 119401 Hubbard DrDearborn, MI 48126-2699 · Phone (313) 982-8261
Location 224555 Haig StTaylor, MI 48180-3322 · Phone (313) 375-2063
Location 339450 W Twelve Mile RdNovi, MI 48377-3600 · Phone (248) 344-6688

Accepted 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

Abdulla Saleh Aljabaly Np 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 ID6406329812
PECOS Enrollment IDI20260626002378
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 Reassignment

Medicare enrollment records show Abdulla Aljabaly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

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 Abdulla Aljabaly's NPI number?

The NPI number for Abdulla Aljabaly is 1164174116. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Abdulla Aljabaly located?

Abdulla Aljabaly practices at 2799 W Grand Blvd # K13, Detroit, MI 48202. The listed phone number is (313) 982-8057.

What is Abdulla Aljabaly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abdulla Aljabaly enrolled in Medicare?

Yes. Abdulla Aljabaly 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 organization bills Medicare for Abdulla Aljabaly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdulla Aljabaly reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Abdulla Aljabaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdulla Aljabaly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Abdulla Aljabaly 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 Abdulla Aljabaly affiliated with any hospitals?

According to CMS data, Abdulla Aljabaly is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Abdulla Aljabaly was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.