NPIMap

Individual provider Active NPI

Abida Zafar, MD

  • Nephrology Physician
  • Port Huron, MI
National Provider Identifier
1265434898
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
AZ071021 Issued in MI
Practice address
2603 Electric Ave
Suite 1
Port Huron, MI 48060-6588
Phone
(586) 247-4300
Fax
(586) 532-6496
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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 AZ071021 MI Primary

Addresses

Primary practice location

2603 Electric Ave
Suite 1
Port Huron, MI 48060-6588

Mailing address

45640 Schoenherr Rd
Suite 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
I20050512000277 MI Practitioner - NephrologyPractitioner - Internal Medicine 2365482049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Specialty Physicians PCGroup PAC ID 6204733256, 36 clinicians

Practice addresses (Care Compare)

2603 Electric Ave
Suite D
Port Huron, MI 48060-6588
Phone (810) 987-5252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ071021MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Specialty Physicians PC Nephrology CurrentSince Jul 15, 2010 Accepting new patients
City of Detroit Past Accepting new patients
Colorado Springs Nephrology Nephrology Past Accepting new patients
Idaho Nephrology Associates, L.L.C Nephrology Past Accepting new patients

Locations

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

22201 Moross Rd
Ste 170
Detroit, MI 48236
Phone (313) 886-8787

4180 Hospital Dr
East China, MI 48054
Phone (313) 800-8230

4180 Hospital Dr
Ste C
East China, MI 48054

2603 Electric Ave
Ste 1
Port Huron, MI 48060
Phone (810) 824-4198

2603 Electric Ave
Ste D
Port Huron, MI 48060
Phone (810) 987-5252

18001 E 10 Mile Rd
Roseville, MI 48066

23857 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-6111

45640 Schoenherr Rd
Ste B
Utica, MI 48315
Phone (586) 247-4300

45640 Schoenherr Rd
Utica, MI 48315
Phone (586) 247-4300

45640 Schoenherr Rd
#B
Utica, MI 48315

Interoperability endpoints

  • Direct secure messaging: azafar1158542@direct.hfhs.org
  • Direct secure messaging: abidazafar@stclairspe.allscriptsdirect.net

Organizations & group practices 4

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 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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1265434898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR RD",
            "address_2": "SUITE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE",
            "address_2": "SUITE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR",
        "first_name": "ABIDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "AZ071021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.