DIMA AL TA'ANY MD
NPI 1629258272
Pediatrics - Neonatal-Perinatal Medicine in Dearborn, MI

Q: What is Dima Al Ta'any's NPI number?

The NPI number for Dima Al Ta'any is 1629258272. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Q: What is Dima Al Ta'any's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Dima Al Ta'any was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 13, 2007PECOS Enrolled

18101 OAKWOOD BLVD STE 124, DEARBORN, MI 48124(313) 593-7490(313) 736-2082 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dima Al Ta'any Md NPPES

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

DIMA AL TA'ANY MD (NPI 1629258272) is an individual neonatal-perinatal medicine provider in Dearborn, Michigan, licensed in Michigan (4301090351) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629258272

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDIMA AL TA'ANYCredential: MD

Location Address18101 OAKWOOD BLVD STE 124Dearborn, MI 48124-4089

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(313) 593-7490

Fax(313) 736-2082

Sole ProprietorNo

Enumeration DateNovember 13, 2007

Last NPPES UpdateJuly 15, 2022

NPPES CertifiedJuly 15, 2022

✔ NPI 1629258272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MI · 4301090351

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 4301090351 (MI)

18101 OAKWOOD BLVD STE 124, Dearborn, MI 48124

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dima Al Ta'any Md 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.

Other Providers at the Same Location NPPES 8

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

DEREK BAIR MD

Pediatrics (Neonatal-Perinatal Medicine)

18101 OAKWOOD BLVD STE 124, DEPT OF NEONATOLOGY
DEARBORN, MI 48124

Wayne County (313) 593-7490

STACEY ELIZABETH TILBURY NNP

Nurse Practitioner (Neonatal)