NPIMap

Individual provider Active NPI

Khalid Zafar, MD

  • Nephrology Physician
  • Berkley, MI
National Provider Identifier
1750363453
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301064963 Issued in MI
Practice address
1695 12 Mile Rd
Ste 250
Berkley, MI 48072-2182
Phone
(248) 414-3210
Fax
(248) 646-7854
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301064963 MI Primary

Addresses

Primary practice location

1695 12 Mile Rd
Ste 250
Berkley, MI 48072-2182

Mailing address

29829 Telegraph Rd
Ste 202
Southfield, MI 48034-7656
Phone (248) 414-3210

Other identifiers 1

IdentifierTypeStateIssuer
3122876MedicaidMI

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
I20041217000175 MI Practitioner - NephrologyPractitioner - Internal Medicine 3577520014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of MichiganGroup PAC ID 7315005220, 5 clinicians

Practice addresses (Care Compare)

29829 Telegraph Rd
Southfield, MI 48034-7656
Phone (248) 354-3236

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Sep 5, 2024 Accepting new patients
Sciometrix Inc CurrentSince Sep 5, 2024 Accepting new patients
Kidney Specialists of Michigan Nephrology CurrentSince Oct 11, 2008 Accepting new patients
Nephrology Consultants, PC PastSince Apr 30, 2003 Accepting new patients
Center for Hand & Extremity Reconstructive Surgery, PLC PastSince Jan 1, 2004 Accepting new patients

Locations

1695 12 Mile Rd
Ste 250
Berkley, MI 48072
Phone (248) 414-3874

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

29829 Telegraph Rd
Ste 201
Southfield, MI 48034
Phone (248) 352-4263

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1750363453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347656",
            "telephone_number": "248-414-3210",
            "fax_number": "248-646-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 12 MILE RD",
            "address_2": "STE 250",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722182",
            "telephone_number": "248-414-3210",
            "fax_number": "248-646-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301064963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122876",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.