NOUR ALI – Medical Physician Assistant, NPI 1104279512
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for NOUR ALI
115, Lake Village Boulevard, Dearborn, Wayne County, Michigan, 48120, United States
APT 103
DEARBORN, MI 481201665
Phone:
Type: Mailing
Allen Road, Brownstown, Lancaster County, Pennsylvania, 17522, United States
#107
BROWNSTOWN TWP, MI 481836812
Phone: (734) 486-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $518.
Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Lilly USA, LLC ($126).
Total Amount
$518
General + Research + Ownership
Payments
30
Total payment records
General Amount
$518
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $126 |
| ABBVIE INC. | $63 |
| Exact Sciences Corporation | $54 |
| GlaxoSmithKline, LLC. | $49 |
| Novo Nordisk Inc | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161104000703 | I | Physician Assistant | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI |
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