Dearborn Kidney Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DEARBORN KIDNEY CENTER LLC

Practice address

5111 Auto Club Dr
Suite 120
Dearborn, MI 48126-2684

Phone

(313) 982-9788

Fax

(313) 982-9789

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Dearborn Kidney Center, LLCCCN 232694

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Aug 15, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nephron Clinic PC

  • Nephrology Physician
  • Dearborn, MI
  • NPI 1104118116

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rabih Moussa Bazzi, M.D.

  • Nephrology Physician
  • Dearborn, MI
  • NPI 1235130691
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rabih Moussa Bazzi, M.D.

  • Nephrology Physician
  • Dearborn, MI
  • NPI 1235130691

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1356783724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "address_2": "SUITE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262684",
            "telephone_number": "313-982-9788",
            "fax_number": "313-982-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "address_2": "SUITE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262684",
            "telephone_number": "313-982-9788",
            "fax_number": "313-982-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356783724",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dearborn Healthcare PC
• Dearborn Hearing AIDS Inc
• Dearborn Hearing Center, LLC. (Zounds Dearborn)
• Dearborn Heart & Vascular Associates PLLC
• Dearborn Internist P.C.
• Dearborn Life Care Physical Therapy, LLC
• Dearborn Medical & Rehabilitation Center
• Dearborn Medical Associates, P.C.
• Dearborn Medical Institute PC
• Dearborn Medical Supplies Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.