Ali Reza Ashtari, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301080840 Issued in MI

Practice address

22250 Providence Dr
Suite 406
Southfield, MI 48075-4825

Phone

(248) 557-9010

Fax

(248) 557-3655

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 1991

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)

Hospital & facility affiliations

• DaVita Cornerstone Dialysis Dialysis facility, Southfield, MI, CCN 232512
• Heritage Dialysis Dialysis facility, Fenton, MI, CCN 232746
• Concerto Michigan LLC Dialysis facility, Livonia, MI, CCN 232742
• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aashtari1115520@direct.hfhs.org
• Direct secure messaging: aashtari18990@direct.acumenmd.com

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.

• Michigan Kidney Consultants, P.C.

  • Nephrology Physician
  • Sterling Heights, MI
  • NPI 1831130723
  Medicare reassignment Care Compare group
• Southfield Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Southfield, MI
  • NPI 1134685415
  Medicare reassignment NPD
• Starrwood Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Royal Oak, MI
  • NPI 1053115873
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concerto Michigan LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Livonia, MI
  • NPI 1487123600

  Dialysis facility

  Care Compare affiliation Name & address match
• Heritage Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fenton, MI
  • NPI 1144820226

  Dialysis facility

  Care Compare affiliation Name & address match
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1477522423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 W AUBURN RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093865",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 406",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-557-9010",
            "fax_number": "248-557-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTARI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301080840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Ann Aschemeyer, D.O., M.S.
• Zewditu Elsabet Asfaw, MD
• Ashley Quinn LLC
• Juanita Ashley
• Noemi Ashley
• Judith Asiala
• Ask Health Care Services, Inc.
• Haseeb Aslam, M.D.
• Asm Home Care Network, Inc
• Aspiring Heights ABA of Michigan LLC

• Nephrology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.

Verify at the official NPI Registry.