Allaa Roto, M.D.

Internal Medicine in Detroit, MI. Individual provider (NPI-1).

NPI number1104516368

StatusActive

Last updated in NPPESMay 12, 2026

Details

NPI: 1104516368
Entity type: Individual (NPI-1)
Name: Ms. Allaa Roto
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 11, 2023
Certification date: May 12, 2026
Last updated: May 12, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	4301516011	MI	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

6071 Outer Drive
Detroit, MI 48235

Phone 313-745-6047

Mailing address

6071 Outer Drive W
Detroit, MI 48235

Phone 313-745-6047

Is something wrong?

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