Dr Ali Shah, MD is a medicare enrolled "Internal Medicine" physician in Fremont, Michigan. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is
212 S Sullivan Ave, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 391-3139.
Dr Ali Shah is licensed to practice in Michigan (license number 4301508300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790306058.
Physician's Profile
| Full Name | Dr Ali Shah |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 8 Years |
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| Location | 212 S Sullivan Ave, Fremont, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ali Shah graduated from medical school in 2017
NPI Data:
- NPI Number: 1790306058
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092131961
- Enrollment ID: I20230606003092
Medical Identifiers
Medical identifiers for Dr Ali Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790306058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301508300 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spectrum Health Primary Care Partners | 4587568647 | 1735 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ali Shah allows following entities to bill medicare on his behalf.
| Entity Name | Spectrum Health Primary Care Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ali Shah is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Ali Shah, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Ali Shah, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548
Ph: (616) 391-3139 |
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