Abdul R Effendi, MD - Medicare Nephrology in Roseville, MI

Abdul R Effendi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Roseville, Michigan. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kidney Consultants Of Michigan Pc, Associates In Family Practice Pllc and his current practice location is 25710 Kelly Rd Ste 1, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 772-2600.

Abdul R Effendi is licensed to practice in Michigan (license number 058052) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881647584.

Contact Information

Abdul R Effendi, MD
25710 Kelly Rd Ste 1,
Roseville, MI 48066-4959
(586) 772-2600
(586) 772-5289



Physician's Profile

Full NameAbdul R Effendi
GenderMale
SpecialityNephrology
Experience35 Years
Location25710 Kelly Rd Ste 1, Roseville, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Abdul R Effendi graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1881647584
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 10/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870535248
  • Enrollment ID: I20050526000052

Medical Identifiers

Medical identifiers for Abdul R Effendi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881647584NPI-NPPES
4278700MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 058052 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Macomb Regional Dialysis CenterClinton township, MIDialysis facility
Beaumont Hospital, TroyTroy, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital
Beaumont Hospital Royal OakRoyal oak, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kidney Consultants Of Michigan Pc21634645204
Associates In Family Practice Pllc741608846310

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abdul R Effendi allows following entities to bill medicare on his behalf.
Entity NameKidney Consultants Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932396496
PECOS PAC ID: 2163464520
Enrollment ID: O20050525000846

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Entity NameAssociates In Family Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790008753
PECOS PAC ID: 7416088463
Enrollment ID: O20100708000490

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abdul R Effendi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abdul R Effendi, MD
25710 Kelly Rd, Ste 1,
Roseville, MI 48066-4959

Ph: (586) 772-2600
Abdul R Effendi, MD
25710 Kelly Rd Ste 1,
Roseville, MI 48066-4959

Ph: (586) 772-2600

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Internal Medicine Doctors in Roseville, MI

Robert Lewis Marchese, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066
Phone: 586-777-9724    Fax: 586-777-9725
Benjamin O Osowa, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066
Phone: 586-552-8696    Fax: 586-552-4404
Dr. Majid Alzagoum, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066
Phone: 586-776-8877    Fax: 586-776-3092
Dr. Wahed Ishaqsei, M.D.
Nephrology
Medicare: May Accept Medicare Assignments
Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066
Phone: 586-778-4950    Fax: 586-778-4952
Dr. Mohamad K. Ajjour, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066
Phone: 586-776-8877    Fax: 586-776-3092
Dr. Ameer Abdulrazzak, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066
Phone: 586-218-5800    Fax: 586-218-5808
Dr. Madjid Mesgarzadeh, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066
Phone: 586-772-3366    Fax: 586-772-3355

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