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MR. ALA EDDIN IMAM MD
NPI 1588742878
Internal Medicine - Gastroenterology in Clarkston, MI

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
6770 DIXIE HIGHWAY, SUITE 301, CLARKSTON, MI 48346(248) 625-3000(248) 625-2278 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Ala Eddin Imam Md NPPES

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

MR. ALA EDDIN IMAM MD (NPI 1588742878) is an individual gastroenterology provider in Clarkston, Michigan, licensed in Michigan (4301039823) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1588742878
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. ALA EDDIN IMAMCredential: MD
Location Address6770 DIXIE HIGHWAY, SUITE 301Clarkston, MI 48346
Mailing Address6770 Dixie Highway, Suite 301Clarkston, MI 48346 · (248) 625-3000 · Fax (248) 625-2278
Phone(248) 625-3000
Fax(248) 625-2278
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 13, 2012
✔ NPI 1588742878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301039823
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6770 DIXIE HIGHWAY, Clarkston, MI 48346
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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

Mr. Ala Eddin Imam Md 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 ID7618046095
PECOS Enrollment IDI20080527000759
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 Ala Imam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ala E. Imam, M.D., P.C.
0.2 mi
Gastroenterology
6770 DIXIE HWY, SUITE 301
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
NPI 1295900975 (248) 625-3000
Mclaren Bay Region
64 mi
Pulmonary Disease
640 S TRUMBULL ST
Bay City, MI 48708
  • Reassigned Medicare billing, Michigan enrollment
  • 250 clinicians in this Medicare group
NPI 1083974323 (989) 893-7460
The Metrohealth System
124 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

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 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
56 services54 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.
43 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services29 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.
33 services27 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.
30 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%495 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
68%1,695 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%553 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
73%108 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%347 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%862 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 8% · 405 patients
6%405 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
35%347 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ALAN MILLMAN MD
Psychiatry & Neurology (Neurology)
6770 DIXIE HIGHWAY, SUITE 305
CLARKSTON, MI 48346
Oakland County (248) 256-5000
SAMUEL EARL STICKNEY
Case Manager/Care Coordinator
6770 DIXIE HIGHWAY, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 276-8000
ALAN MILLMAN MD PLLC
Psychiatry & Neurology (Neurology)
6770 DIXIE HIGHWAY, STE 305
CLARKSTON, MI 48346
Oakland County (248) 256-5000
PINE KNOB PHARMACY #3, INC.
Pharmacy (Community/Retail Pharmacy)
6770 DIXIE HIGHWAY, SUITE 201
CLARKSTON, MI 48346
Oakland County (248) 620-3588

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 Ala Imam's NPI number?

The NPI number for Ala Imam is 1588742878. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Ala Imam located?

Ala Imam practices at 6770 Dixie Highway Suite 301, Clarkston, MI 48346. The listed phone number is (248) 625-3000.

What is Ala Imam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ala Imam enrolled in Medicare?

Yes. Ala Imam 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 Ala Imam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ala Imam reassigns Medicare benefits to 3 organizations: Ala E. Imam, M.D., P.C. (Clarkston, MI), Mclaren Bay Region (Bay City, MI) and The Metrohealth System (Cleveland, OH). 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 Ala Imam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ala Imam 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 1 other insurer list Ala Imam 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 Ala Imam affiliated with any hospitals?

According to CMS data, Ala Imam is affiliated with Mclaren Bay Region.

When was this NPI record last updated?

The NPPES record for Ala Imam was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.