DR. ALI SHAMS
NPI 1992183255
Emergency Medicine in Grosse Pointe, MI

Q: What is Ali Shams's NPI number?

The NPI number for Ali Shams is 1992183255. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Ali Shams's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ali Shams was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 07, 2015PECOS EnrolledAccepts Medicare Assignment

94.25/100

CMS Quality Rating

468 CADIEUX RD, GROSSE POINTE, MI 48230(313) 473-1605 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2025, Jul 19, 2022, Jun 21, 2018 (3 updates tracked since 2018).

On this page

About Dr. Ali Shams NPPES

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

DR. ALI SHAMS (NPI 1992183255) is an individual emergency medicine provider in Grosse Pointe, Michigan, licensed in Michigan (4301107012) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992183255

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ALI SHAMS

Location Address468 CADIEUX RDGrosse Pointe, MI 48230-1507

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

Phone(313) 473-1605

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2015

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1992183255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4301107012

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

468 CADIEUX RD, Grosse Pointe, MI 48230

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Secondary Practice Locations 2

Location 1617 S Webik AveClawson, MI 48017 · Phone (248) 325-4831

Location 236555 26 Mile Rd Ste 1100Lenox, MI 48048-3186 · Phone (947) 523-4040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali Shams 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 ID4082926373

PECOS Enrollment IDI20231114001699

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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

170 services162 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

128 services114 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

57 services54 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340020

Location1135 Carthage StSanford, NC 27330 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

94.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

99.21

Other Providers at the Same Location NPPES 20

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

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