NPIMap

Organization Active NPI

Procare Partners Health PLLC

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1528601952
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PROCARE PARTNERS HEALTH PLLC
Practice address
3611 Carpenter St Ste 5
Detroit, MI 48212-2784
Phone
(313) 733-8286
Fax
(313) 826-0899
NPI assigned
Oct 17, 2019
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Ribhi Hazin, MDNPI 1265747463
Title
Owner/Provider
Phone
(973) 766-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3611 Carpenter St Ste 5
Detroit, MI 48212-2784

Mailing address

3611 Carpenter St Ste 5
Detroit, MI 48212-2784
Phone (313) 733-8286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107001481 MI Part B Supplier - Clinic/Group Practice 6507298841 Receives reassigned benefits from 25 practitioners
Practice locations: Detroit, MI; Eastpointe, MI; Madison Heights, MI

National Provider Directory

National Provider Directory

Locations

4777 E Outer Dr
Ste 1147
Detroit, MI 48234
Phone (313) 826-6100

20927 Kelly Rd
Eastpointe, MI 48021
Phone (586) 447-9729

30805 Ann Arbor Trl
Westland, MI 48185
Phone (734) 744-7058

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1528601952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST STE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "313-733-8286",
            "fax_number": "313-826-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST STE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "313-733-8286",
            "fax_number": "313-826-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PARTNERS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "HAZIN",
        "authorized_official_first_name": "RIBHI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "973-766-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.