ALI DOURRA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1861135543

ALI DOURRA (DPM) is a healthcare provider. based in Wayne, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5951001469 (MI). The NPI Number for ALI DOURRA (DPM) is 1861135543

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ALI DOURRA (DPM)
NPI
1861135543
Phone
(313) 436-2577
Address
33155 ANNAPOLIS ST
Enumeration Date
19 April 2022
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5675850005
Graduation Year
2022 (4 years ago)
PAC ID
6103205943
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20250721002837
Address ID
OH435602767SY5700XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for ALI DOURRA (DPM)

  • 33155 ANNAPOLIS ST

    WAYNE, MI 481842405

    Phone: (313) 436-2577

    Type: Location

  • 5300 HARROUN RD STE 201

    SYLVANIA, OH 435602146

    Phone: (419) 885-5563

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $4,275.

Total Amount is formed as General ($4,275) + Research ($0) + Ownership ($0) = $4,275.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ACUMED LLC ($2,017).

Total Amount

$4,275

General + Research + Ownership

Payments

74

Total payment records

General Amount

$4,275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-21

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
I20241107002393IPodiatryMITBD
I20250721002837IPodiatryOHTBD

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 48184)

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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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

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Frequently asked questions

What federal number belongs to ALI DOURRA (DPM)?
The federal identifier for ALI DOURRA (DPM) is NPI 1861135543.
Is ALI DOURRA (DPM) active in the national directory?
ALI DOURRA (DPM)'s public NPI profile is in an active state.
What kind of provider is ALI DOURRA (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for ALI DOURRA (DPM). Clinical services aligned with this taxonomy classification.
Does ALI DOURRA (DPM) practice in Michigan?
You will see Wayne, Michigan on file for ALI DOURRA (DPM) alongside any extra practice locations.
How can I contact ALI DOURRA (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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