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Individual provider Active NPI

Kamran S Jafri, MD

  • Facial Plastic Surgery Physician
  • Dearborn, MI
National Provider Identifier
1912195835
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
4301072754 Issued in MI
Practice address
2454 Monroe St Ste a
Dearborn, MI 48124-3038
Phone
(313) 562-4100
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 220892 NY
Facial Plastic Surgery Physician 207YS0123X 4301072754 MI Primary

Addresses

Primary practice location

2454 Monroe St Ste a
Dearborn, MI 48124-3038

Mailing address

598 Canterbury Rd
Grosse Pointe Woods, MI 48236-1200
Phone (646) 262-3135

Other identifiers 1

IdentifierTypeStateIssuer
02288957MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091209000349 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8628061157 Reassigns benefits to 1 organization
I20240726000467 MI Practitioner - Otolaryngology 8628061157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danny Kewson M.D. P.CGroup PAC ID 9436139425, 12 clinicians

Practice addresses (Care Compare)

2454 Monroe St
Suite a
Dearborn, MI 48124-3038
Phone (313) 562-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072754MIMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danny Kewson M.D. P.C Otolaryngology/Facial Plastic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Island Hearing & Balance Center LLC PastSince Mar 18, 2026 Accepting new patients
New York University Past Accepting new patients
Danny Kewson M.D. P.C PastSince Jul 1, 2024 Accepting new patients

Locations

6850 N Haggerty Rd
Canton, MI 48187
Phone (734) 386-8000

2454 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 562-4100

2454 Monroe St
Dearborn, MI 48124

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

317 E 34th St
Fl 7
New York, NY 10016
Phone (212) 726-7400

317 E 34th St
Fl 9
New York, NY 10016
Phone (212) 726-7400

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

347 E 37th St
Ste 211
New York, NY 10016
Phone (212) 726-7400

Philadelphia, PA 19195

Organizations & group practices 6

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1912195835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361200",
            "telephone_number": "646-262-3135",
            "fax_number": "646-626-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 MONROE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243038",
            "telephone_number": "313-562-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "KAMRAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "220892",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "4301072754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02288957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.