Active NPI
Aboubakr Aldhib, MD
- Nephrology Physician
- Detroit, MI
National Provider Identifier
1013899699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4351055401
- Practice address
- 4160 John R St Ste 908
Detroit, MI 48201-2017 - Phone
- (313) 745-7145
- Fax
- (313) 745-8041
- NPI assigned
- Jul 23, 2025
- Last updated
- Jul 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4351055401 | MI | Primary |
Addresses
Primary practice location
4160 John R St Ste 908
Detroit, MI 48201-2017
Mailing address
4160 John R St Ste 908
Detroit, MI 48201-2017
Phone (313) 745-7145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250729000701 | MI | Order and Referring Only - Nephrology | 0345757902 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1013899699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 JOHN R ST STE 908",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012017",
"telephone_number": "313-745-7145",
"fax_number": "313-745-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST STE 908",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012017",
"telephone_number": "313-745-7145",
"fax_number": "313-745-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDHIB",
"first_name": "ABOUBAKR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4351055401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.