DR. ABDALLA ABDALLA-ALI (NPI# 1134101074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134101074 |
| Entity Type | Individual |
| Full Name | DR. ABDALLA ABDALLA-ALI |
| Credential | MD |
| Practice Address |
3955 Patient Care Way Suite B Lansing MI 48911-4299 |
| Mailing Address |
3955 Patient Care Dr Ste A Lansing MI 48911-4271 |
| Practice Telephone | 5178826643 |
| Practice Fax Number | 5178821949 |
| Mailing Telephone | 5173747600 |
| Mailing Fax Number | 5173749042 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301065971 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN | 203742 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 350D410030 | 01 |
| MI | 4155272 | 05 | |
| MI | HEALTH NET FED SERVICES | G87637 | 01 |
| MI | 4871668 | 05 | |
| MI | AETNA | 5517663 | 01 |
| MI | PHYSICIANS HEALTH PLAN | 1200183 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 330485 | 01 |
| MI | 4416510 | 05 | |
| MI | HEALTH ADVANTAGE NETWORK | 203742 | 01 |
| MI | BLUE CHOICE | 350D410030 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 350C361520 | 01 |
| MI | COMMUNITY BLUE PPO | 350D410030 | 01 |
| MI | BLUE CARE NETWORK | 350D410030 | 01 |
| Street Address |
3955 PATIENT CARE WAY SUITE B |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308843 | Charles B Dehlin | Internal Medicine | 3955 Patient Care Way, Ste A, Lansing, MI 48911 | 2005-07-07 |
| 1366885600 | Kip L Kaercher Do Pllc | Family Medicine | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2013-04-16 |
| 1477716579 | Hitesh Mahadev Bhatt | Internal Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2008-07-08 |
| 1912128539 | Justin Sasky Kisaka | Internal Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2007-05-01 |
| 1093863748 | Mary Louise Dowding-harris | Physician Assistant | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2007-01-08 |
| 1588740690 | Jerrold M Weiss | Radiology | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2006-10-31 |
| 1821182023 | Ingrid M Stines | Podiatrist | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2006-10-03 |
| 1134236268 | Anthony Jon Meier | Internal Medicine | 3955 Patient Care Way, Lansing, MI 48911-4299 | 2006-08-24 |
| 1780629832 | Capital Internal Medicine Associates P.C. | Family Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2006-06-20 |
| 1528036035 | Kip L Kaercher | Family Medicine | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1740790146 | Theo Pediatric Health | Pediatrics | 1219 1/2 Turner St, Lansing, MI 48906-4341 | 2017-10-11 |
| 1891216834 | Ahmad Khalil | Pediatrics | 1200 E Michigan Ave Ste 205, Lansing, MI 48912-1800 | 2017-06-29 |
| 1407386329 | Ambria Faith Jump | Pediatrics | 5303 S Cedar St Ste 205, Lansing, MI 48911-3800 | 2017-06-13 |
| 1114478419 | Jerry Joe Evans | Pediatrics | 610 W Ottawa St, Apt. 906, Lansing, MI 48933-1056 | 2016-10-21 |
| 1730561366 | Christine Sims | Pediatrics | 7335 Westshire Dr Ste 102, Lansing, MI 48917-9703 | 2015-06-19 |
| 1548609225 | Stephanie Anne Klein | Pediatrics | 2414 Lake Lansing Road, Lansing, MI 48912 | 2013-06-17 |
| 1679882005 | Bhagya Mysore Venkatesh | Pediatrics | 901 East Michigan Avenue, Lansing, MI 48910 | 2010-10-04 |
| 1205147451 | Erica Lillian Still | Pediatrics | 15673 Wood Rd, Lansing, MI 48906-1740 | 2010-06-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.