Active NPI
Zafer Husami, MD
- Nephrology Physician
- Dearborn, MI
National Provider Identifier
1669473880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301057510
- Practice address
- 22030 Park St
Ste 103
Dearborn, MI 48124-2854 - Phone
- (313) 562-2611
- Fax
- (313) 562-7025
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301057510 | MI | Primary |
Addresses
Primary practice location
22030 Park St
Ste 103
Dearborn, MI 48124-2854
Mailing address
22030 Park St
Ste 103
Dearborn, MI 48124-2854
Phone (313) 562-2611
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110173115C30371 | Other | MI | TRAVELERS MEDICARE |
| C6120 | Other | MI | M CARE |
| 204980 | Other | MI | FEDERAL BLACK LUNG |
| 2714A | Other | MI | CAPE HEALTH PLAN |
| 101571 | Other | MI | GREAT LAKES HEALTH PLAN |
| 3520336 | Medicaid | MI | |
| P61541 G02484 | Other | MI | BLUE CARE NETWORK |
| 125437 | Other | MI | CARE CHOICES |
| 110Q26434 | Other | MI | BCBS |
| 5019367 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Hypertension Clinic PC | Nephrology | Past | Accepting new patients |
| Dialysis Access Center PLC | Past | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients | |
| Nephrology Hypertension Clinic, PC | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJFBBA
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 and National Provider Directory roles.
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- Community/Retail Pharmacy
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669473880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22030 PARK ST",
"address_2": "STE 103",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242854",
"telephone_number": "313-562-2611",
"fax_number": "313-562-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22030 PARK ST",
"address_2": "STE 103",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242854",
"telephone_number": "313-562-2611",
"fax_number": "313-562-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAMI",
"first_name": "ZAFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301057510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "110173115C30371",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M CARE",
"identifier": "C6120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "204980",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "2714A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "101571",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3520336",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P61541 G02484",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "125437",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110Q26434",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5019367",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.