NPIMap

Individual provider Active NPI

Sami Zarouk, M.D.

  • Nephrology Physician
  • Berkley, MI
National Provider Identifier
1629015664
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301030426 Issued in MI
Practice address
27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919
Phone
(248) 414-5377
Fax
(248) 541-0542
NPI assigned
May 31, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301060426 MI
Nephrology Physician 207RN0300X 4301030426 MI Primary

Addresses

Primary practice location

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919

Mailing address

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919
Phone (248) 414-5377

Other identifiers 1

IdentifierTypeStateIssuer
4316800MedicaidMI

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
I20041217000250 MI Practitioner - Nephrology 8123085669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Consultants PCGroup PAC ID 2668436544, 5 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0918
Phone (248) 414-5377

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060426MIMDSpecialist
4301030426MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Jan 1, 2024 Accepting new patients
Sciometrix LLC CurrentSince Jan 1, 2024 Accepting new patients
Beaumont Kidney Specialty Services LLC PastSince May 1, 2008 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1629015664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-414-5377",
            "fax_number": "248-541-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-414-5377",
            "fax_number": "248-541-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROUK",
        "first_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301060426",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301030426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4316800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.