NPIMap

Individual provider Active NPI

Ameer Abdulrazzak, MD

  • Nephrology Physician
  • Roseville, MI
National Provider Identifier
1104948280
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301087269 Issued in 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
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 4301087269 MI Primary

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

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
I20090609000584 MI Practitioner - NephrologyPractitioner - Internal Medicine 3476603648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 6204733256, 36 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Specialty Physicians PC Nephrology CurrentSince May 11, 2015 Accepting new patients
Colorado Springs Nephrology Nephrology Past Accepting new patients

Locations

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

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

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

  • Direct secure messaging: aabdulrazzak370894@direct.hfhs.org
  • Direct secure messaging: ameerabdulrazzak@stclairspe.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1104948280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR RD",
            "address_2": "STE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "313-432-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 E 10 MILE",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663803",
            "telephone_number": "586-218-5800",
            "fax_number": "586-218-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULRAZZAK",
        "first_name": "AMEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301087269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.