Ameer Abdulrazzak, MD
Individual provider Active NPI Nephrology Physician · Roseville, MI
NPI 1104948280 · NPPES record last updated Apr 16, 2018
Key facts
- NPI
- 1104948280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 4301087269 (MI)
- Practice address
- 18001 E 10 Mile
Suite 1
Roseville, MI 48066-3803 - Phone
- (586) 218-5800
- Fax
- (586) 218-5808
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Clair Specialty Physicians PC
Practice addresses (Care Compare)
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
1501 W Chisholm St
Mymichigan Health Alpena
Alpena, MI 49707-1401
Phone (989) 356-7000
18001 E 10 Mile Rd
Roseville, MI 48066-3803
Phone (586) 871-3686
215 N Ave
Mount Clemens, MI 48043-1716
Phone (586) 307-9010
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
23857 Greenfield Rd
Southfield, MI 48075-3122
Phone (248) 569-6111
28295 Schoenherr Rd
Warren, MI 48088-4300
Phone (586) 558-8160
301 Oxbow Dr
Alpena, MI 49707-1447
Phone (989) 356-3125
30300 Hoover Rd
Warren, MI 48093-6516
Phone (586) 558-8890
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000
45640 Schoenherr Rd
Suite B
Shelby Township, MI 48315-6033
45650 Schoenherr Rd
Shelby Township, MI 48315-6033
Phone (586) 286-7800
6010 W Maple Rd
Suite 215
West Bloomfield, MI 48322-4406
Phone (586) 558-8160
Hospital & facility affiliations
- DaVita Alpena Dialysis
- DaVita Macomb Kidney Center
- DaVita Cornerstone Dialysis
- Concerto Michigan LLC
- Beaumont Hospital Royal Oak
- Henry Ford Health Warren Hospital
- Mymichigan Medical Center Alpena
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090609000584 | MI | Practitioner - Nephrology |
3476603648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301087269 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clair Specialty Physicians PC | Nephrology | Current |
Accepting new patients |
| Colorado Springs Nephrology | Nephrology | Past | Accepting new patients |
| Idaho Nephrology Associates, L.L.C | Nephrology | Past | Accepting new patients |
Locations
18001 E 10 Mile Rd
Ste 1
Roseville, MI 48066
Phone (586) 218-5800
18001 E 10 Mile Rd
Roseville, MI 48066
3601 W 13 Mile Rd
Royal Oak, MI 48073
23857 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-6111
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
- aabdulrazzak370894@direct.hfhs.org
- ameerabdulrazzak@stclairspe.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301087269 | MI | Yes |
Addresses
Primary practice location
18001 E 10 Mile
Suite 1
Roseville, MI 48066-3803
Mailing address
45640 Schoenherr Rd
Ste B
Shelby Township, MI 48315-6033
Phone (586) 247-4300
Other providers in Roseville, MI
- A Daughter'S Touch Home Health Care LLC
- A Safe Place Clinical Counseling PLLC
- Natasha Aazami
- Veronica Mary Abbo
- Abes Drug Store 102 LLC
- Abes Drug Store 102 LLC
- Robert E Abrams
- Margot G Abundis
- Aaron N Achatz
All providers in Roseville, MI · Nephrology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.