Individual provider Active NPI

Mehdi Yavari, M.D.

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1376168732
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01096881A Issued in IN
Practice address
22201 Moross Rd
Detroit, MI 48236
Phone
(313) 343-7774
Fax
(313) 343-8747
NPI assigned
Jun 11, 2020
Reactivated
Feb 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 01096881A IN Primary

Addresses

Primary practice location

22201 Moross Rd
Detroit, MI 48236

Mailing address

22201 Moross Rd
Detroit, MI 48236
Phone (313) 343-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20250807000987 IN Practitioner - Nephrology 6406271956 Reassigns benefits to 1 organization
I20250813003452 KY Practitioner - Nephrology 6406271956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Suite 106
Henderson, KY 42420-2776
Phone (270) 831-7937

533 W Columbia St
Evansville, IN 47710-1617
Phone (812) 492-5202

Hospital & facility affiliations

  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01096881AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nephrology CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Aug 18, 2025 Accepting new patients

Locations

533 W Columbia St
Evansville, IN 47710
Phone (812) 450-8350

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: myavari992093@direct.deaconess.com

Organizations & group practices 5

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 5

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1376168732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-7774",
            "fax_number": "313-343-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-7774",
            "fax_number": "313-343-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVARI",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01096881A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.