Active NPI
Adam Izzat Kadri, MD
- Emergency Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 431509233
- Practice address
- 1500 East Medical Center Drive
B1-380 Taubman Center
Ann Arbor, MI 48109 - Phone
- (734) 763-7919
- Fax
- (734) 763-9298
- NPI assigned
- May 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 431509233 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Drive
B1-380 Taubman Center
Ann Arbor, MI 48109
Mailing address
1500 East Medical Center Drive
B1-380 Taubman Center
Ann Arbor, MI 48109
Phone (734) 763-7919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Trinity Health Livingston Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431509233 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current | Accepting new patients |
| Epmg of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current | Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- akadri43407@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Chelsea, MI
- NPI 1003978867
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1407618234
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1407413644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DRIVE",
"address_2": "B1-380 TAUBMAN CENTER",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-763-7919",
"fax_number": "734-763-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DRIVE",
"address_2": "B1-380 TAUBMAN CENTER",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-763-7919",
"fax_number": "734-763-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADRI",
"first_name": "ADAM",
"middle_name": "IZZAT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-23",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "431509233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.