AYMAN SHABIB ALHADHERI (MD) – Emergency Medicine Physician, NPI 1184205403

AYMAN SHABIB ALHADHERI (MD) is a healthcare provider. based in Pontiac, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301510071 (MI). The NPI Number for AYMAN SHABIB ALHADHERI (MD) is 1184205403

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
AYMAN SHABIB ALHADHERI (MD)
NPI
1184205403
Phone
(248) 338-5392
Address
50 N PERRY ST
Enumeration Date
19 April 2021
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203816300
Graduation Year
2020 (6 years ago)
PAC ID
1557731908
Group Practice PAC ID
2264538529
Professional Enrollment ID
I20240828001140
Address ID
AZ851225303CA1800XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for AYMAN SHABIB ALHADHERI (MD)

  • 50 N PERRY ST

    PONTIAC, MI 483422217

    Phone: (248) 338-5392

    Fax: (248) 338-5567

    Type: Mailing

  • 6644 E BAYWOOD AVE

    MESA, AZ 852061747

    Phone: (480) 321-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231005000959IEmergency MedicineMITBD
I20240828001140IEmergency MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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 48342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264538529View full group profile
NameSpecialtyState
-AZ
Emergency MedicineNM
Emergency MedicineCA
Emergency MedicineNC
Family Practice, Emergency Medicine, Emergency MedicineMS
Nurse PractitionerAZ
Emergency MedicineAZ
-IL
Emergency MedicineTX
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What unique ID ties claims to AYMAN SHABIB ALHADHERI (MD)?
NPI 1184205403 is assigned to AYMAN SHABIB ALHADHERI (MD) under the national enumeration system.
Is AYMAN SHABIB ALHADHERI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does AYMAN SHABIB ALHADHERI (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for AYMAN SHABIB ALHADHERI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for AYMAN SHABIB ALHADHERI (MD)?
The page summarizes Pontiac, Michigan for AYMAN SHABIB ALHADHERI (MD); expand the address list for detail.
What if Pontiac, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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