SAME
NPI 1386839215
Clinic/Center - Primary Care in Dearborn, MI

Active since September 13, 2007CLIA 23D1030724 · Waiver
9925 DIX STE 103, DEARBORN, MI 48120(313) 843-8300 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Same NPPES

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

SAME (NPI 1386839215) is a healthcare organization registered as a primary care in Dearborn, Michigan and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Ali Mohamed Nassser, President, as its authorized official.

NPPES Registry Identity

NPI1386839215
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALI NASSER MD PC
Location Address9925 DIX STE 103Dearborn, MI 48120-1593
Mailing AddressPo Box 4186Dearborn, MI 48126-0186 · (313) 843-8300
Organization SubpartYes
Authorized OfficialAli Mohamed NassserPresident · (313) 843-8300
Enumeration DateSeptember 13, 2007
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1386839215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4301077843
9925 DIX STE 103, Dearborn, MI 48120

Other Names 1

Doing Business AsSame

Other Identifiers 2

Medicaid4627749MI
Other1108227222MI · Blue Cross Blur Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Same is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040622000857Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Same, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1477513158
9925 DIX SUITE 103
Dearborn, MI 48120
(313) 843-8300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073237608
15120 MICHIGAN AVE SUITE A
Dearborn, MI 48126
(313) 843-8300
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1063229920
15120 MICHIGAN AVE
Dearborn, MI 48126
(313) 843-8300
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1760996797
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
(888) 731-8994
✔ PECOS✔ Accepts Medicare5.6 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1030724

Ali Nasser MD PC · Dearborn, MI
Active · expires Sep 13, 2028
CLIA Number23D1030724
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorAli M. Nasser
Laboratory Phone(313) 843-8300
Laboratory LocationAli Nasser MD PC15120 Michigan Avenue Suite A, Dearborn, MI 48126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ali Nasser MD PC's NPI number?

The NPI number for Ali Nasser MD PC is 1386839215. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Same.

Where is Ali Nasser MD PC located?

Ali Nasser MD PC is located at 9925 Dix Ste 103, Dearborn, MI 48120. The listed phone number is (313) 843-8300.

What is Ali Nasser MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ali Nasser MD PC enrolled in Medicare?

Yes. Ali Nasser MD PC is registered in the Medicare PECOS enrollment system.

When is Ali Nasser MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ali Nasser MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Ali Nasser MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ali Nasser MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1030724) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ali Nasser MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ali Nasser MD PC 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.

When was this NPI record last updated?

The NPPES record for Ali Nasser MD PC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.