ROA ALNASIRY – Physician Assistant, NPI 1356228340

ROA ALNASIRY is a healthcare provider. based in Dearborn heights, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 1233854 (MI). The NPI Number for ROA ALNASIRY is 1356228340

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ROA ALNASIRY
NPI
1356228340
Phone
(313) 899-0700
Address
27332 KINGSWOOD DR
Enumeration Date
20 August 2025
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5175393018
Graduation Year
2025 (1 year ago)
PAC ID
3678051000
Group Practice PAC ID
0042619132
Professional Enrollment ID
I20260128001496
Address ID
MI492011625JA729XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for ROA ALNASIRY

  • 27332 KINGSWOOD DR

    DEARBORN HEIGHTS, MI 481273382

    Phone: (313) 899-0700

    Mailing address matches the actual address.

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: 2026-01-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260128001496IPhysician AssistantMITBD

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 48127)

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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: 0042619132View full group profile
NameSpecialtyState
Physician AssistantTN
Emergency MedicineMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI
Physician AssistantWI
Physician AssistantNY
Emergency MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify ROA ALNASIRY for billing?
Administrative and clinical systems typically use NPI 1356228340 for ROA ALNASIRY.
Quick check: is ROA ALNASIRY active?
Public NPPES data shows ROA ALNASIRY with an active NPI status right now.
How should patients interpret ROA ALNASIRY's specialty?
The extract shows Physician Assistant for ROA ALNASIRY. Clinical services aligned with this taxonomy classification.
Can patients visit ROA ALNASIRY in Dearborn Heights, Michigan?
For routing, start with Dearborn Heights, Michigan for ROA ALNASIRY, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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