Individual provider Active NPI

Naushaba Ishrath Khalid, M.D.

  • Nephrology Physician
  • Royal Oak, MI
National Provider Identifier
1679749626
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301091022 Issued in MI
Practice address
32121 Woodward Ave Ste 200
Royal Oak, MI 48073-0999
Phone
(248) 690-9946
Fax
(248) 268-3661
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091022 MI
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 4301091022 MI Primary

Addresses

Primary practice location

32121 Woodward Ave Ste 200
Royal Oak, MI 48073-0999

Mailing address

17177 N Laurel Park Dr Ste 439
Livonia, MI 48152-3938
Phone (734) 462-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000105 MI Practitioner - NephrologyPractitioner - Internal Medicine 3476741158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37300 Dequindre Rd
Suite 104
Sterling Heights, MI 48310-3597
Phone (248) 861-2580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.37 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
75.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants PLLC Single Specialty CurrentSince Aug 6, 2021 Accepting new patients

Locations

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

32121 Woodward Ave
Ste 200
Royal Oak, MI 48073
Phone (248) 690-9946

37300 Dequindre Rd
Ste 104
Sterling Hts, MI 48310
Phone (248) 861-2580

Interoperability endpoints

  • Direct secure messaging: nkhalid13690@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1679749626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523938",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730999",
            "telephone_number": "248-690-9946",
            "fax_number": "248-268-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "NAUSHABA",
        "middle_name": "ISHRATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091022",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301091022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.