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 Associates In Family Practice Pllc, Kidney Consultants Of Michigan Pc 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

Map and Direction




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
Associates In Family Practice Pllc741608846310
Kidney Consultants Of Michigan Pc21634645204

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

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

Reviews and Comments


Internal Medicine Doctors in Roseville, MI

Robert Lewis Marchese, MD
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Phone: 586-777-9724    Fax: 586-777-9725
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Dr. Mohamad K. Ajjour, M.D.
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Dr. Ameer Abdulrazzak, MD
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Phone: 586-218-5800    Fax: 586-218-5808
Dr. Madjid Mesgarzadeh, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066
Phone: 586-772-3366    Fax: 586-772-3355

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.