NPIMap

Individual provider Active NPI

Imad Salah Modawi, M.D.

  • Nephrology Physician
  • Flint, MI
National Provider Identifier
1124224415
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301087326 Issued in MI
Practice address
2387 S Linden Rd
Ste. a
Flint, MI 48532-5436
Phone
(810) 733-1700
NPI assigned
Jun 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 4301087326 MI Primary

Addresses

Primary practice location

2387 S Linden Rd
Ste. a
Flint, MI 48532-5436

Mailing address

2387 S Linden Rd
Ste. a
Flint, MI 48532-5436
Phone (810) 733-1700

Other practice location 1

1200 Barry Dr Ste 3600
Lapeer, MI 48446-3661
Phone (810) 664-4464

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
I20090720000425 MI Practitioner - NephrologyPractitioner - Internal Medicine 5597817718 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
Group practices
Kidney Disease and Hypertension, P.C.Group PAC ID 5193723773, 3 clinicians

Practice addresses (Care Compare)

2387 S Linden Rd
Suite a
Flint, MI 48532-5443
Phone (810) 733-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
66.17
Promoting interoperability
94
Improvement activities
40
Cost
77.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease & Hypertension, P.C. Nephrology CurrentSince Nov 14, 2011 Accepting new patients
Covenant Medical Center, Inc Internal Medicine Past Accepting new patients

Locations

2387 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-1700

1200 Barry Dr
Ste 3600
Lapeer, MI 48446
Phone (810) 245-7059

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

Interoperability endpoints

  • Direct secure messaging: imodawi1141853@direct.hfhs.org
  • Direct secure messaging: imodawi8860@direct.hurleymc.com

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.

Hospital & facility affiliations 7

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1124224415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 S LINDEN RD",
            "address_2": "STE. A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325436",
            "telephone_number": "810-733-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 S LINDEN RD",
            "address_2": "STE. A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325436",
            "telephone_number": "810-733-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Barry Dr Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463661",
            "country_code": "US",
            "telephone_number": "810-664-4464",
            "fax_number": "810-733-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODAWI",
        "first_name": "IMAD",
        "middle_name": "SALAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301087326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.