AGHA WALI
NPI 1578355392
Pediatrics - Pediatric Nephrology in Detroit, MI

Q: What is Agha Wali's NPI number?

The NPI number for Agha Wali is 1578355392. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Agha Wali's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Agha Wali was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 19, 2025PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Agha Wali NPPES

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

AGHA WALI (NPI 1578355392) is an individual pediatric nephrology provider in Detroit, Michigan, licensed in Michigan (0000) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578355392

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameAGHA WALI

Location Address3901 BEAUBIEN STDetroit, MI 48201-2196

Mailing Address2032 W Aster DrPhoenix, AZ 85029-2606 · (412) 535-3884

Phone(313) 745-5437

Sole ProprietorNo

Enumeration DateMay 19, 2025

NPPES CertifiedMay 19, 2025

✔ NPI 1578355392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in MI · 0000

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

3901 BEAUBIEN ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agha Wali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)