Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134101074 Individual Practitioner Male Practitioner

Dr. Abdalla Abdalla-Ali , MD

Pediatrics • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Abdalla Abdalla-Ali, MD is a registered healthcare professional specializing in Pediatrics in Lansing, MI. Practice services are available at 1200 E MICHIGAN AVE STE 145 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave Ste 145

Lansing, MI 489121897

Telephone 5173645440
Fax 5173645409
Associated Practice Facility / Clinic
🏢 Msu Health Care Inc. Facility NPI 1912539743

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
111 Specialists

Practicing in Lansing, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301065971

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4155272 (MI)
Medicaid State Provider ID
4416510 (MI)
Medicaid State Provider ID
4871668 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
330485 (MI)
Commercial Insurance / Payer ID Physicians Health Plan
1200183 (MI)
Commercial Insurance / Payer ID Community Blue Ppo
350D410030 (MI)
Commercial Insurance / Payer ID Blue Choice
350D410030 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
350C361520 (MI)
Commercial Insurance / Payer ID Blue Care Network
350D410030 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
350D410030 (MI)

Secondary Practice Locations

1600 W Grand River Ave Ste 2

Okemos, MI 488642394

Phone: 5173496560

3955 Patient Care Way, Suite B

Lansing, MI 489114299

Phone: 5178826643

13750 S Sedona Pkwy Ste 2

Lansing, MI 489068101

Phone: 5173534000

4660 S Hagadorn Rd Ste 405

East Lansing, MI 488236819

Phone: 5178848600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. David Cervi , DO, PhD

Pediatrics - Pediatric Hematology-Oncology

NPI 1013256825

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

NPI 1033111653

Doctor of Osteopathic Medicine (D.O.)

Dr. Renuka Gera , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033127626

Doctor of Medicine (M.D.)

NPI 1093895344

Doctor of Philosophy (Ph.D.)

NPI 1104915784

Doctor of Medicine (M.D.)

Nicole Wieber , CPNP

Nurse Practitioner - Pediatrics

NPI 1194154476

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 27, 2023

Registered at 804 SERVICE RD STE A109B, EAST LANSING, MI 488247015 (Tel: 5173645440)

📍
Updated Practice Location May 16, 2023

Registered at 1200 E MICHIGAN AVE STE 145, LANSING, MI 489121897 (Tel: 5173645440)

NPI Profile Active July 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2016

Registered at 3955 PATIENT CARE WAY, SUITE B, LANSING, MI 489114299 (Tel: 5178826643)

📍
Updated Business Mailing Address July 29, 2016

Registered at 3955 PATIENT CARE DR STE A, LANSING, MI 489114271 (Tel: 5173747600)

👤
Provider Name / Credentials Updated July 29, 2016

Recorded as ABDALLA ABDALLA-ALI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2016

Pediatrics (License #4301065971 in MI)

🟢
Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134101074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

804 Service Rd Ste A109b

East Lansing, MI 488247015

Phone: 5173645440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.