Individual provider Active NPI

Yassir Sirajeldin, M.D.

  • Nephrology Physician
  • Southfield, MI
National Provider Identifier
1306111463
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301101252 Issued in MI
Practice address
22250 Providence Dr Ste 406
Southfield, MI 48075-6212
Phone
(248) 557-9010
Fax
(248) 557-3655
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036152676 IL
Nephrology Physician 207RN0300X 4301101253 MI
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 4301101252 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 406
Southfield, MI 48075-6212

Mailing address

1886 W Auburn Rd
Suite 400
Rochester Hills, MI 48309-3865
Phone (248) 290-3111

Other practice location 1

22201 Moross Rd Ste 150
Detroit, MI 48236-2152
Phone (313) 432-6271

Other practice location 2

24623 Greenfield Rd
Southfield, MI 48075-3058
Phone (248) 557-3655

Other practice location 3

1625 E 75th St Ste 328
Chicago, IL 60649-3603
Phone (773) 947-7841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170721000848 MI Practitioner - NephrologyPractitioner - Internal Medicine 3971893868 Reassigns benefits to 1 organization
I20200427000308 IL Practitioner - Nephrology 3971893868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010

Hospital & facility affiliations

  • DaVita Greenview Dialysis Dialysis facility, Southfield, MI, CCN 232600
  • DaVita Bloomfield Hills Home Dialysis Dialysis facility, Bloomfield Hills, MI, CCN 232697
  • DaVita Livonia Dialysis Dialysis facility, Livonia, MI, CCN 232741
  • DaVita Commerce Township Dialysis Dialysis facility, Commerce Township, MI, CCN 232637
  • DaVita State Fair Dialysis Dialysis facility, Detroit, MI, CCN 232578
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152676ILMDNephrology Physician
4301101253MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wadah Atassi MD SC Current Accepting new patients
Jackson Park Hospital Foundation Single Specialty Current Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Single Specialty CurrentSince Apr 22, 2020 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Single Specialty CurrentSince Apr 22, 2020 Accepting new patients
Willow Springs Surgery Center, LLC CurrentSince Apr 22, 2020 Accepting new patients
Southfield Surgery Center LLC Past Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

1625 E 75th St
Ste 328
Chicago, IL 60649
Phone (773) 947-7841

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

9050 W 81st St
Oak Lawn, IL 60458
Phone (708) 563-0330

Interoperability endpoints

  • Direct secure messaging: ysirajeldin19042@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yassirsirajeldin@jph.medalliesdirect.net
  • Direct secure messaging: ysirajeldin1151550@direct.hfhs.org

Organizations & group practices 7

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1306111463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 W AUBURN RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093865",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 406",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756212",
            "telephone_number": "248-557-9010",
            "fax_number": "248-557-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22201 Moross Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362152",
            "country_code": "US",
            "telephone_number": "313-432-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24623 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753058",
            "country_code": "US",
            "telephone_number": "248-557-3655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 E 75th St Ste 328",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493603",
            "country_code": "US",
            "telephone_number": "773-947-7841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRAJELDIN",
        "first_name": "YASSIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036152676",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301101253",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301101252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.