Individual provider Active NPI

Reem Raad Asteefan Yusufani, M.D.

  • Nephrology Physician
  • Ann Arbor, MI
National Provider Identifier
1083068902
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301504803 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Apr 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 4301504803 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

26400 W 12 Mile Rd Ste 112
Southfield, MI 48034-1785
Phone (248) 228-8777

Other practice location 2

44300 Dequindre Rd
Sterling Heights, MI 48314-1003
Phone (586) 739-2551

Other practice location 3

23231 John R Rd
Hazel Park, MI 48030-1476
Phone (248) 399-0737

Other practice location 4

2624 W 11 Mile Rd
Berkley, MI 48072-3050
Phone (248) 399-0776

Other practice location 5

3535 W 13 Mile Rd Ste 247
Royal Oak, MI 48073-6770
Phone (248) 551-4149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryusufani91691@direct.beaumont.edu

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
I20230724001194 MI Practitioner - Nephrology 2365789781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Specialty Physicians PCGroup PAC ID 6204733256, 36 clinicians

Practice addresses (Care Compare)

18001 E 10 Mile Rd
Roseville, MI 48066-3983
Phone (586) 218-5800

Hospital & facility affiliations

  • DaVita Roseville Commons Dialysis Dialysis facility, Roseville, MI, CCN 232736
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504803MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Nephrology CurrentSince Jun 27, 2023 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 27, 2023 Accepting new patients
St Clair Specialty Physicians PC Nephrology CurrentSince Apr 24, 2024 Accepting new patients
Idaho Nephrology Associates, L.L.C Nephrology Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

2624 W 11 Mile Rd
Berkley, MI 48072
Phone (248) 399-0764

23231 John R Rd
Hazel Park, MI 48030
Phone (248) 399-0737

18001 E 10 Mile Rd
Ste 1
Roseville, MI 48066
Phone (586) 218-5800

18001 E 10 Mile Rd
Ste 3
Roseville, MI 48066

18001 E 10 Mile Rd
Roseville, MI 48066

23857 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-6111

44300 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0100

3290 W Big Beaver Rd
Ste 414
Troy, MI 48084
Phone (248) 220-5030

45640 Schoenherr Rd
Ste B
Utica, MI 48315
Phone (586) 247-4300

Interoperability endpoints

  • Direct secure messaging: ryusufani91691@direct.beaumont.edu
  • Direct secure messaging: reemyusufani@stclairspe.allscriptsdirect.net
  • Direct secure messaging: ryusufani361284@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1083068902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26400 W 12 Mile Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341785",
            "country_code": "US",
            "telephone_number": "248-228-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44300 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141003",
            "country_code": "US",
            "telephone_number": "586-739-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23231 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Hazel Park",
            "state": "MI",
            "postal_code": "480301476",
            "country_code": "US",
            "telephone_number": "248-399-0737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2624 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480723050",
            "country_code": "US",
            "telephone_number": "248-399-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUFANI",
        "first_name": "REEM",
        "middle_name": "RAAD ASTEEFAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301504803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryusufani91691@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 247",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.