NPIMap

Individual provider Active NPI

Hilana Kaafarani, MD

  • Nephrology Physician
  • Roseville, MI
National Provider Identifier
1174789473
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301091630 Issued in MI
Practice address
25710 Kelly Rd Ste 1
Roseville, MI 48066-4959
Phone
(586) 772-2600
Fax
(586) 772-5289
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013-00619 NC
Internal Medicine Physician 207R00000X 4301091630 MI
Nephrology Physician 207RN0300X 2013-00619 NC
Nephrology Physician 207RN0300X 4301091630 MI Primary

Addresses

Primary practice location

25710 Kelly Rd Ste 1
Roseville, MI 48066-4959

Mailing address

PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400

Other names 1

  • Hilana Hassan Hatoum Former name

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
I20190423000181 MI Practitioner - Nephrology 3971747163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11707 Whittier St
Davita English Village Dialysis
Detroit, MI 48224-1537
Phone (313) 509-1653

19625 Vernier Rd
Harper Woods Dialysis
Harper Wood, MI 48225-1010
Phone (313) 640-0271

23600 Harper Ave
Suite 103
Saint Clair Shores, MI 48080-1445
Phone (586) 585-2570

2391 15 Mile Rd
Sterling HTS, MI 48310-4812
Phone (586) 795-2920

30300 Hoover Rd
Suite 100
Warren, MI 48093-6516
Phone (586) 558-8890

35351 S Gratiot Ave
FMC Clinton Township
Clinton TWP, MI 48035-2850
Phone (800) 881-5101

7733 E Jefferson Ave
FMC Bewik
Detroit, MI 48214-3707
Phone (313) 824-3430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00619NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice PLLC CurrentSince Oct 16, 2020 Accepting new patients
Kidney Consultants of Michigan PC Nephrology CurrentSince Jun 1, 2019 Accepting new patients
Beta Medical Practice PLLC Nephrology CurrentSince Dec 4, 2023 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Sabah Internal Medicine PLLC Internal Medicine Past Accepting new patients
Lakeview Medical Center PC Internal Medicine Past Accepting new patients

Locations

16815 E Jefferson Ave
Ste 290
Grosse Pointe, MI 48230
Phone (586) 772-2600

25710 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 772-2600

23600 Harper Ave
Ste 103
St Clr Shores, MI 48080
Phone (586) 585-2570

42755 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-0400

43184 Dequindre Rd
Ste 202
Sterling Hts, MI 48314
Phone (586) 580-0280

Interoperability endpoints

  • Direct secure messaging: hhatoum14547@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJHBA/Endpoint/FDJHBA
  • Direct secure messaging: hkaafarani600441@direct.hfhs.org

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1174789473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3272",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486053272",
            "telephone_number": "989-797-1400",
            "fax_number": "989-797-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25710 KELLY RD STE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664959",
            "telephone_number": "586-772-2600",
            "fax_number": "586-772-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAFARANI",
        "first_name": "HILANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-00619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091630",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2013-00619",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301091630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILANA",
            "last_name": "HATOUM",
            "middle_name": "HASSAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.