Individual provider Active NPI

Aris Querol Urbanes, MD

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1023016474
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301057086 Issued in MI
Practice address
4160 John R St Ste 917
Detroit, MI 48201-2017
Phone
(313) 745-4525
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301057086 MI Primary

Addresses

Primary practice location

4160 John R St Ste 917
Detroit, MI 48201-2017

Mailing address

1036 Bishop Rd
Grosse Pointe Park, MI 48230-1448
Phone (313) 882-0554

Other practice location 1

1036 Bishop Rd
Grosse Pointe Park, MI 48230-1448
Phone (313) 882-0554

Other practice location 2

400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9870

Other identifiers 2

IdentifierTypeStateIssuer
4301057086OtherMICONTROLLED SUBSTANCE
03723038OtherECFMG

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000568 MI Practitioner - NephrologyPractitioner - Internal Medicine 5092626283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Aug 17, 2018 Accepting new patients
University Physician Group CurrentSince Aug 17, 2018 Accepting new patients

Locations

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 917
Detroit, MI 48201
Phone (313) 745-1445

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4201 Saint Antoine St
#5A
Detroit, MI 48201

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023016474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301448",
            "telephone_number": "313-882-0554",
            "fax_number": "313-640-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 917",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012017",
            "telephone_number": "313-745-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Bishop Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301448",
            "country_code": "US",
            "telephone_number": "313-882-0554",
            "fax_number": "313-640-1774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012136",
            "country_code": "US",
            "telephone_number": "313-448-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANES",
        "first_name": "ARIS",
        "middle_name": "QUEROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301057086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "4301057086",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "03723038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.