Active NPI
Procare Partners Health PLLC
- Nephrology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ribhi Hazin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528601952 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
4777 E Outer Dr
Ste 1147
Detroit, MI 48234
Phone (313) 826-6100
3611 Carpenter St
Hamtramck, MI 48212
Phone (313) 733-8286
24831 Ryan Rd
Warren, MI 48091
Phone (586) 486-5037
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.
-
- Behavior Analyst
- Westland, MI
- NPI 1457141756
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528601952",
"state": "MI"
}
],
"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.