| Dr Khaled Mostafa Ismail, MD | |
|
18302 Middlebelt Rd, Livonia, MI 48152-5007 | |
| (248) 478-1500 | |
| (248) 478-2798 |
| Full Name | Dr Khaled Mostafa Ismail |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 24 Years |
| Location | 18302 Middlebelt Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467674895 | NPI | - | NPPES |
| 11738444 | Other | CAQH | |
| 10-5185211 | Medicaid | MI | |
| 1467674895 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 4301077887 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis - Madison Heights | Madison heights, MI | Dialysis facility |
| Fmc Dialysis - Warren | Warren, MI | Dialysis facility |
| Fmc Dialysis - Clinton | Clinton township, MI | Dialysis facility |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Huron Valley-sinai Hospital | Commerce township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hypertension Nephrology Associates Pc | 3274506092 | 13 |
| Sciometrix Llc | 7618367087 | 52 |
| Entity Name | Hypertension Nephrology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417068693 PECOS PAC ID: 3274506092 Enrollment ID: O20040818000993 |
| Entity Name | Sciometrix Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619649894 PECOS PAC ID: 7618367087 Enrollment ID: O20211130000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khaled Mostafa Ismail, MD 18302 Middlebelt Rd, Livonia, MI 48152-5007 Ph: (248) 478-1500 | Dr Khaled Mostafa Ismail, MD 18302 Middlebelt Rd, Livonia, MI 48152-5007 Ph: (248) 478-1500 |
Mark Gregory Marrone, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798 | |
Ali Jafri, DO Nephrology Medicare: May Accept Medicare Assignments Practice Location: Iha Northwest Livonia Primary Care 37595 Seven Mile Rd, Livonia, MI 48152 Phone: 734-793-2470 | |
Jay Maurice Daitch, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20206 Farmington Rd, Livonia, MI 48152 Phone: 248-476-4724 Fax: 248-476-7091 | |
Dr. Mark R. Villeneuve, MD Nephrology Medicare: Medicare Enrolled Practice Location: 14555 Levan Rd, Suite 202, Livonia, MI 48154 Phone: 734-542-4470 Fax: 734-542-4475 | |
Dr. John Krausman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20000 Farmington Rd, Bldg. E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 | |
Justin Cykiert, Nephrology Medicare: May Accept Medicare Assignments Practice Location: 20317 Farmington Rd, Livonia, MI 48152 Phone: 248-615-0777 | |
Mark A Rasak, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 17880 Farmington Rd, Livonia, MI 48152 Phone: 248-615-7300 Fax: 248-615-7333 |