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

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: October 25, 2026.

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dima Al Ta'any reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakwood Ambulatory LLC
Same address
Internal Medicine
18101 OAKWOOD BLVD
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 453 clinicians in this Medicare group
NPI 1003829441 (313) 593-7000
University Pediatricians
9.2 mi
Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group
NPI 1033143904 (313) 745-5214
Beaumont Medical Group Hospital -Based Services
15 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000

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

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)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
FREDERICK LUEDER MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
SONDRA ROSE VELEZ CNM
Advanced Practice Midwife
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
LAUREN V SALIBA NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
CLARITA HUGHES MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
MRS. JOY JONES R,N., N.N.P
Nurse Practitioner
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
WILLIAM D CLARK MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 586-5011

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 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.

Where is Dima Al Ta'any located?

Dima Al Ta'any practices at 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124. The listed phone number is (313) 593-7490.

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.

Is Dima Al Ta'any enrolled in Medicare?

Yes. Dima Al Ta'any is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dima Al Ta'any's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dima Al Ta'any reassigns Medicare benefits to 3 organizations: Oakwood Ambulatory LLC (Dearborn, MI), University Pediatricians (Detroit, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). 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 Dima Al Ta'any's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dima Al Ta'any 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 Dima Al Ta'any 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 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.