Dr Ali Shah, MD - Medicare Internal Medicine in Fremont, MI

  1. Home
  2. Internal Medicine
  3. MI
  4. Fremont
Dr Ali Shah, MD is a medicare enrolled "Internal Medicine" physician in Fremont, Michigan. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790306058.

Contact Information

Dr Ali Shah, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548
(616) 391-3139
Not Available

Map and Direction




Physician's Profile

Full NameDr Ali Shah
GenderMale
SpecialityInternal Medicine
Location212 S Sullivan Ave, Fremont, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1790306058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301508300 (Michigan)Primary

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 NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091

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 AddressPractice Location Address
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

Reviews and Comments


Internal Medicine Doctors in Fremont, MI

Dale Alan Wiersma, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 212 S Sullivan Ave, Fremont, MI 49412
Phone: 616-391-3139    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.