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Individual provider Active NPI

Marrouf Azar, MD

  • Nephrology Physician
  • Sterling Heights, MI
National Provider Identifier
1467616433
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301091976 Issued in MI
Practice address
5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005
Phone
(248) 290-3111
Fax
(586) 772-5289
NPI assigned
Jul 17, 2008
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 4301091976 MI Primary

Addresses

Primary practice location

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005

Mailing address

5280 Metro Pkwy
Sterling Heights, MI 48310-4005
Phone (248) 290-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711002202 MI Practitioner - NephrologyPractitioner - Internal Medicine 8123243847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

44200 Woodward Ave
Suite 209
Pontiac, MI 48341-5045
Phone (248) 253-0330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice PLLC CurrentSince Dec 1, 2014 Accepting new patients
Michigan Kidney Consultants, P.C. Nephrology CurrentSince Aug 20, 2023 Accepting new patients
Kidney Consultants of Michigan PC Nephrology CurrentSince Jul 1, 2014 Accepting new patients

Locations

16815 E Jefferson Ave
Ste 290
Grosse Pointe, MI 48230
Phone (586) 772-2600

44200 Woodward Ave
Ste 209
Pontiac, MI 48341
Phone (248) 253-0330

25710 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 772-2600

25710 Kelly Rd
Ste 3
Roseville, MI 48066
Phone (586) 291-5669

5280 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 446-8688

42755 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-0400

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

Interoperability endpoints

  • Direct secure messaging: amarrouf295765@direct.hfhs.org
  • Direct secure messaging: marrouf.azar.1@16555.direct.athenahealth.com
  • Direct secure messaging: mazar55341@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1467616433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 METRO PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "248-290-3111",
            "fax_number": "586-772-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "248-290-3111",
            "fax_number": "586-772-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "MARROUF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301091976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.