NPIMap

Organization Active NPI

Nephro-Care MD PLC

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1336510072
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301091025 Issued in MI
Legal business name
NEPHRO-CARE MD PLC
Practice address
19141 Greenfield Rd
Detroit, MI 48235-6007
Phone
(133) 960-6605
Fax
(734) 753-9151
NPI assigned
Oct 7, 2015
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dr. Chadi Youssef Saad, MDNPI 1114193646
Title
President
Phone
(313) 608-8068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301091025 MI Primary

Addresses

Primary practice location

19141 Greenfield Rd
Detroit, MI 48235-6007

Mailing address

23010 Sheridan St
Dearborn, MI 48128-1837
Phone (734) 462-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001124 MI Part B Supplier - Clinic/Group Practice 3971813635 Receives reassigned benefits from 15 practitioners
Practice locations: Dearborn, MI; Detroit, MI; Garden City, MI; Royal Oak, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Plover Dialysis LLC

    dba Wyoming Street Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Detroit, MI
    • NPI 1740789536

    Member Of

    NPD member

Locations

5728 Schaefer Rd
Ste 103
Dearborn, MI 48126
Phone (313) 581-8080

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1336510072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23010 SHERIDAN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281837",
            "telephone_number": "734-462-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482356007",
            "telephone_number": "133-960-6605",
            "fax_number": "734-753-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHRO-CARE MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "CHADI",
        "authorized_official_middle_name": "YOUSSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-608-8068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301091025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.