Beta Medical Practice PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BETA MEDICAL PRACTICE PLLC

Practice address

22631 Greater Mack Ave Ste 100
Saint Clair Shores, MI 48080-2055

Phone

(248) 331-5158

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Hilana Kaafarani, M.D.NPI 1174789473

Title

President/Owner

Phone

(248) 331-5158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilana Kaafarani, MD

  • Nephrology Physician
  • Roseville, MI
  • NPI 1174789473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1619754116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 LAKEWOOD RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22631 GREATER MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802055",
            "telephone_number": "248-331-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETA MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "KAAFARANI",
        "authorized_official_first_name": "HILANA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-331-5158",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Benninger, AU.D., CCC-A
• Falisha Nicole Bentley
• Mark Andrew Bergin, M.D.
• Beata Bernady-Chochla
• Mark E Bernthal, OD
• Kerri Ann Bewick, D.O.
• Nassar Beydoun
• Beyond Baby
• Beyoutifully LLC
• Mariam Bezih

• Nephrology Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.