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FATHELRAHMAN OMER ALI M.D.
NPI 1326018748
Internal Medicine in Dearborn, MI

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
2040 MONROE ST, SUITE # 207, DEARBORN, MI 48124(313) 278-5836(313) 278-5846 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fathelrahman Omer Ali M.d. NPPES

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

FATHELRAHMAN OMER ALI M.D. (NPI 1326018748) is an individual internal medicine provider in Dearborn, Michigan, licensed in Michigan (4301075097) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1326018748
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFATHELRAHMAN OMER ALICredential: M.D.
Location Address2040 MONROE ST, SUITE # 207Dearborn, MI 48124-2950
Mailing Address2040 Monroe St, Suite # 207Dearborn, MI 48124-2950 · (313) 278-5836 · Fax (313) 278-5846
Phone(313) 278-5836
Fax(313) 278-5846
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 26, 2006
Last NPPES UpdateSeptember 9, 2013
✔ NPI 1326018748 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 · 4301075097
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.
2040 MONROE ST, Dearborn, MI 48124
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Other Identifiers 3

Medicare PINP45000001MI
Medicaid4787887MI
Medicare UPINH67224

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fathelrahman Omer Ali M.d. 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 ID4284627233
PECOS Enrollment IDI20040406000263, I20251223001714
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 Reassignments

3

Medicare enrollment records show Fathelrahman Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

F Ali MD PLLC
0.2 mi
Internal Medicine
1711 MONROE ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1801920137 (313) 624-0000
Baco Care Services LLC
13 mi
Internal Medicine
26911 NORTHWESTERN HWY STE 530
Southfield, MI 48033
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1780294850 (947) 522-0017
Healthfirst Physicians Management Services, Inc
900 mi
Hospitalist
1110 N CLASSEN BLVD, SUITE 100
Oklahoma City, OK 73106
  • Reassigned Medicare billing, Oklahoma enrollment
  • 63 clinicians in this Medicare group
NPI 1891962460 (405) 272-7452

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

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
274 services75 patients
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.
124 services66 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.
108 services52 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
51 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK
OwnershipGovernment - Local
CMS Certification Number370158
Location2301 N 9th AvePurcell, OK 73080 · Mcclain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers28 claims100 services$5.80 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims28 services$1.22 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$4.81 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,464 services$0.53 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$5.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANSOOR IQBAL BHATTI P.A.C.
Physician Assistant (Medical)
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
DR. AARON SCOTT GOLDFEIN M.D.
General Practice
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
NEPHRON CLINIC PC
Internal Medicine (Nephrology)
2040 MONROE ST, STE 209
DEARBORN, MI 48124
Wayne County (313) 359-2100
NAZIRKO LLC
Pharmacy (Community/Retail Pharmacy)
2040 MONROE ST, SUITE 201
DEARBORN, MI 48124
Wayne County (313) 561-9700
THAMER MEDICAL PLLC
Internal Medicine
2040 MONROE ST, SUITE 206
DEARBORN, MI 48124
Wayne County (313) 561-8796
RAMON ADOLFO MADRID M.D.
General Practice
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
HARTLAND GERIATRIC PC
Internal Medicine
2040 MONROE ST, STE 207
DEARBORN, MI 48124
Wayne County (313) 278-5836
MAHA ELNAZIR
Pharmacist
2040 MONROE ST, SUITE 201
DEARBORN, MI 48124
Wayne County (313) 561-9700

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 Fathelrahman Ali's NPI number?

The NPI number for Fathelrahman Ali is 1326018748. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Fathelrahman Ali located?

Fathelrahman Ali practices at 2040 Monroe St Suite # 207, Dearborn, MI 48124. The listed phone number is (313) 278-5836.

What is Fathelrahman Ali's specialty?

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

Is Fathelrahman Ali enrolled in Medicare?

Yes. Fathelrahman Ali 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 organizations bill Medicare for Fathelrahman Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fathelrahman Ali reassigns Medicare benefits to 3 organizations: F Ali MD PLLC (Dearborn, MI), Baco Care Services LLC (Southfield, MI) and Healthfirst Physicians Management Services, Inc (Oklahoma City, OK). Each 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 Fathelrahman Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fathelrahman Ali 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 5 other insurers list Fathelrahman Ali 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 Fathelrahman Ali affiliated with any hospitals?

According to CMS data, Fathelrahman Ali is affiliated with Beaumont Hospital - Dearborn, Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Shawnee and Purcell Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Fathelrahman Ali was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.