NEPHRON CLINIC PC
NPI 1104118116
Internal Medicine - Nephrology in Dearborn, MI

Active since May 09, 2011
2040 MONROE ST, STE 209, DEARBORN, MI 48124(313) 359-2100(313) 359-2104 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nephron Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEPHRON CLINIC PC (NPI 1104118116) is a healthcare organization registered as a nephrology in Dearborn, Michigan and active in the NPI registry since May 2011. The organization lists Rabih M Bazzi, President, as its authorized official.

NPPES Registry Identity

NPI1104118116
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHRON CLINIC PC
Location Address2040 MONROE ST, STE 209Dearborn, MI 48124-2950
Mailing Address6463 Miller RdDearborn, MI 48126-2363 · (313) 359-2100 · Fax (313) 359-2104
Fax(313) 359-2104
Organization SubpartNo
Authorized OfficialRabih M BazziPresident · (313) 359-2100
Enumeration DateMay 9, 2011
✔ NPI 1104118116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2040 MONROE ST, Dearborn, MI 48124

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nephron Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Nephron Clinic PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nephrology
NPI 1235130691
1537 MONROE ST STE 100
Dearborn, MI 48124
(313) 359-2100
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1720502594
1537 MONROE ST STE 100
Dearborn, MI 48124
(313) 359-2100
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1740889328
1537 MONROE ST
Dearborn, MI 48124
(313) 359-2100
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1952983538
3990 JOHN R ST
Detroit, MI 48201
(313) 745-8040
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1659972339
11496 NEWBERN DR
Warren, MI 48093
(586) 344-7809
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1265033450
5121 S COTTONWOOD ST
Murray, UT 84107
(801) 507-4384
✔ PECOS✔ Accepts Medicare1,484 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nephron Clinic PC's NPI number?

The NPI number for Nephron Clinic PC is 1104118116. It was assigned to this organization in the NPPES registry on May 9, 2011.

Where is Nephron Clinic PC located?

Nephron Clinic PC is located at 2040 Monroe St Ste 209, Dearborn, MI 48124. The listed phone number is (313) 359-2100.

What is Nephron Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nephron Clinic PC enrolled in Medicare?

Yes. Nephron Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nephron Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Nephron Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Internal Medicine (1) and Nephrology (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nephron Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nephron Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nephron Clinic PC was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.