Individual provider Active NPI

Makhoul R Hourani, MD

  • Nephrology Physician
  • Lansing, MI
National Provider Identifier
1114954039
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MH042073 Issued in MI
Practice address
405 W Greenlawn
Suite 230
Lansing, MI 48910
Phone
(517) 485-8217
Fax
(517) 485-3871
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MH042073 MI
Nephrology Physician 207RN0300X MH042073 MI Primary

Addresses

Primary practice location

405 W Greenlawn
Suite 230
Lansing, MI 48910

Mailing address

405 W Greenlawn
Suite 230
Lansing, MI 48910
Phone (517) 485-8217

Other identifiers 3

IdentifierTypeStateIssuer
P58412OtherBCN
0330049OtherMIBCBS
2113433MedicaidMI

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
I20050511000542 MI Practitioner - NephrologyPractitioner - Internal Medicine 7911891676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH042073MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ingham Nephrology and Hypertension PC Nephrology CurrentSince Jan 1, 2015 Accepting new patients
Renal Care Group Lansing, LLC PastSince Dec 4, 2006 Accepting new patients

Locations

405 W Greenlawn Ave
Ste 230
Lansing, MI 48910
Phone (517) 485-8217

3960 Patient Care Dr
Ste 108
Lansing, MI 48911
Phone (517) 394-8589

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1114954039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN",
            "address_2": "SUITE 230",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-485-8217",
            "fax_number": "517-485-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN",
            "address_2": "SUITE 230",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-485-8217",
            "fax_number": "517-485-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURANI",
        "first_name": "MAKHOUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MH042073",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "MH042073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P58412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0330049",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113433",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.