Active NPI
Yassir Sirajeldin, M.D.
- Nephrology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301101252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036152676 | IL | |
| Nephrology Physician | 207RN0300X | 4301101253 | MI | |
| Nephrology Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010
Hospital & facility affiliations
- DaVita Greenview Dialysis
- DaVita Bloomfield Hills Home Dialysis
- DaVita Livonia Dialysis
- DaVita Commerce Township Dialysis
- DaVita State Fair Dialysis
- Ascension Providence Hospital, Southfield and Novi
- Sinai-Grace Hospital
- Huron Valley-Sinai Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Oakland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036152676 | IL | MD | Nephrology Physician |
| 4301101253 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Nephrology Associates of Northern Illinois, LTD. | Single Specialty | Current | Accepting new patients |
| Willow Springs Surgery Center, LLC | Current | 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
- ysirajeldin19042@direct.acumenmd.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- yassirsirajeldin@jph.medalliesdirect.net
- 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.
-
- Nephrology Physician
- Sterling Heights, MI
- NPI 1831130723
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Addison, IL
- NPI 1467429233
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Single Specialty
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
Single Specialty
-
- Clinic/Center
- Chicago, IL
- NPI 1730452285
-
- Ambulatory Surgical Clinic/Center
- Southfield, MI
- NPI 1134685415
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Commerce Township, MI
- NPI 1497875819
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bloomfield Hills, MI
- NPI 1467890616
Dialysis facility
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.