Individual provider Active NPI

Chady Haurani, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1982992475
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099328 Issued in MI
Practice address
19601 E 8 Mile Rd Ste a
Saint Clair Shores, MI 48080-1655
Phone
(586) 800-1001
Fax
(586) 800-1002
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301099328 MI
Family Medicine Physician 207Q00000X 4301099328 MI Primary

Addresses

Primary practice location

19601 E 8 Mile Rd Ste a
Saint Clair Shores, MI 48080-1655

Mailing address

21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242
Phone (248) 720-8322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaurani461957@direct.beaumont.edu

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
I20200731000742 MI Practitioner - Family Practice 5294082533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark Alrais MD PCGroup PAC ID 9436407236, 4 clinicians

Practice addresses (Care Compare)

21600 Harper Ave
Suite 100
Saint Clair Shores, MI 48080-2242
Phone (586) 800-1001

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099328MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Alrais MD PC Family Medicine CurrentSince Jan 14, 2024 Accepting new patients

Locations

19601 E 8 Mile Rd
Saint Clair Shores, MI 48080
Phone (586) 753-0361

19601 E 8 Mile Rd
Ste A
St Clr Shores, MI 48080
Phone (586) 800-1003

21600 Harper Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 498-4800

Interoperability endpoints

  • Direct secure messaging: chaurani461957@direct.beaumont.edu
  • Direct secure messaging: chaurani1237481@epic00.shdirect.org

Organizations & group practices 1

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1982992475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 HARPER AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802242",
            "telephone_number": "248-720-8322",
            "fax_number": "586-800-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 E 8 MILE RD STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801655",
            "telephone_number": "586-800-1001",
            "fax_number": "586-800-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAURANI",
        "first_name": "CHADY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301099328",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaurani461957@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "22646 E 9 Mile Rd",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480801951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.