Active NPI
Critical Care Nephrology, PC
- Nephrology Physician
- Royal Oak, MI
National Provider Identifier
1740823459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CRITICAL CARE NEPHROLOGY, PC
- Practice address
- 333 E Parent Ave
Royal Oak, MI 48067-3748 - Phone
- (330) 518-2898
- NPI assigned
- Oct 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad B Maarouf, MD
- Title
- Owner
- Phone
- (330) 518-2898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
333 E Parent Ave
Royal Oak, MI 48067-3748
Mailing address
333 E Parent Ave
Royal Oak, MI 48067-3748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881795037 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571961600000",
"number": "1740823459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E PARENT AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E PARENT AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673748",
"telephone_number": "330-518-2898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITICAL CARE NEPHROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A",
"authorized_official_last_name": "MAAROUF",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-518-2898",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881795037",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.