Physician Compare National (NPI:1285975250)

HEALTHCARE PROVIDER: ALI H. JABER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285975250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072834811
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160629003052
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JABER
	Individual professional last name
Provider First Name	ALI
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	26631 SOUTHFIELD RD
	Group Practice or individual's line 1 address
City	LATHRUP VILLAGE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	480764530
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SINAI-GRACE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAUMONT HOSPITAL - DEARBORN
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230244
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GARDEN CITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	230270
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BEAUMONT HOSPITAL - TAYLOR
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1285975250)

HEALTHCARE PROVIDER: ALI H. JABER M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information