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

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

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Dec 27, 2025, Jan 20, 2022 (3 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 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 Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 999-5829 · Fax (313) 876-1305
Phone(313) 982-8057
Sole ProprietorNo
Enumeration DateJanuary 20, 2022
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdulla Saleh Aljabaly Np 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.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Abdulla Aljabaly was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.