Beaumont Kidney Specialty Services LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BEAUMONT KIDNEY SPECIALTY SERVICES LLC

Practice address

26400 W 12 Mile Rd
Suite 112
Southfield, MI 48034-1700

Phone

(248) 457-7648

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sami Saleh Zarouk, MDNPI 1629015664

Title

President

Phone

(248) 457-7648

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Sami Zarouk, M.D.

  • Nephrology Physician
  • Berkley, MI
  • NPI 1629015664
  NPD (past) Authorized official

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1669703799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD",
            "address_2": "SUITE 112",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD",
            "address_2": "SUITE 112",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341700",
            "telephone_number": "248-457-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT KIDNEY SPECIALTY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "ZAROUK",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "SALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-457-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Beard, NP
• Sandra Beard
• Denisha Beasley
• Karie Beaudin
• Ryan Beaudre
• Beaumont Medical Group- Specialty Services
• Beaumont Medical Group- Specialty Services
• Beaumont Medical Transportation Services, Inc
• Sarah Elizabeth Beauregard
• Jacalyn R Beavers

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.