NPIMap

Individual provider Active NPI

Ejaz Ali Dawson, MD

  • Nephrology Physician
  • Southfield, MI
National Provider Identifier
1043258122
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301058036 Issued in MI
Practice address
27209 Lahser Rd Ste 222
Southfield, MI 48034-8403
Phone
(248) 799-0434
Fax
(248) 799-0675
NPI assigned
Jun 2, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 4301058036 MI Primary

Addresses

Primary practice location

27209 Lahser Rd Ste 222
Southfield, MI 48034-8403

Mailing address

11885 E 12 Mile Rd Ste 302B
Warren, MI 48093-3467
Phone (248) 799-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060703000118 MI Practitioner - NephrologyPractitioner - Internal Medicine 1658383906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Nephrologists PCGroup PAC ID 2466418215, 9 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Warren, MI 48093-3467
Phone (586) 558-9033

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Oct 1, 2024 Accepting new patients
Metropolitan Nephrologists PC Nephrology CurrentSince Jan 11, 2014 Accepting new patients
Sciometrix LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

27209 Lahser Rd
Ste 222
Southfield, MI 48034
Phone (248) 353-9817

11885 E 12 Mile Rd
Ste 302B
Warren, MI 48093
Phone (586) 558-9033

11900 E 12 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 558-9033

Interoperability endpoints

  • Direct secure messaging: edawson1124685@direct.hfhs.org
  • Direct secure messaging: edawson@direct.dmc.org

Organizations & group practices 3

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1043258122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 302B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933467",
            "telephone_number": "248-799-0434",
            "fax_number": "248-799-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 222",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348403",
            "telephone_number": "248-799-0434",
            "fax_number": "248-799-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "EJAZ",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301058036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.