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DR. ALI N KADDOURA M.D.
NPI 1649215377
Internal Medicine in Dearborn, MI

Active since June 17, 2006PECOS Enrolled
24825 MICHIGAN AVE, SUITE B, DEARBORN, MI 48124(313) 565-3365(313) 565-3440 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ali N Kaddoura M.d. NPPES

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

DR. ALI N KADDOURA M.D. (NPI 1649215377) is an individual internal medicine provider in Dearborn, Michigan, licensed in Michigan (AK060472) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649215377
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALI N KADDOURACredential: M.D.
Location Address24825 MICHIGAN AVE, SUITE BDearborn, MI 48124-1757
Mailing Address24825 Michigan Ave, Suite BDearborn, MI 48124-1757 · (313) 565-3365 · Fax (313) 565-3440
Phone(313) 565-3365
Fax(313) 565-3440
Sole ProprietorYes
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 18, 2009
✔ NPI 1649215377 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 · AK060472
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.
24825 MICHIGAN AVE, Dearborn, MI 48124
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Other Identifiers 3

Medicare UPING10348
Medicaid3241017MI
Medicare ID-Type Unspecified0M05210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali N Kaddoura M.d. 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.

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.

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

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.
79%2,033 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.
0%606 patients1/55-star benchmark: 99%
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…
6%606 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%606 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers39 claims132 services$6.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims28 services$1.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$56.72 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 3

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

DR. STEVEN JAMES GUSFA D.D.S.
Dentist (General Practice)
24825 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 565-5350
DR. JAMES WALTER GUSFA D.,D.S.
Dentist (General Practice)
24825 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 565-5350
LYNDA HAIDAR-AHMAD PAC
Physician Assistant (Medical)
24825 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 675-9447

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 Kaddoura's NPI number?

The NPI number for Ali Kaddoura is 1649215377. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Ali Kaddoura located?

Ali Kaddoura practices at 24825 Michigan Ave Suite B, Dearborn, MI 48124. The listed phone number is (313) 565-3365.

What is Ali Kaddoura's specialty?

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

Is Ali Kaddoura enrolled in Medicare?

Yes. Ali Kaddoura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ali Kaddoura was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.