BETA MEDICAL PRACTICE PLLC
NPI 1619754116
Internal Medicine - Nephrology in Saint Clair Shores, MI
About Beta Medical Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETA MEDICAL PRACTICE PLLC (NPI 1619754116) is a healthcare organization registered as a nephrology in Saint Clair Shores, Michigan and active in the NPI registry since September 2023. The organization lists Hilana Kaafarani, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Beta Medical Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Beta Medical Practice PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Beta Medical Practice PLLC's NPI number?
The NPI number for Beta Medical Practice PLLC is 1619754116. It was assigned to this organization in the NPPES registry on September 11, 2023.
Where is Beta Medical Practice PLLC located?
Beta Medical Practice PLLC is located at 22631 Greater Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (248) 331-5158.
What is Beta Medical Practice PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Beta Medical Practice PLLC enrolled in Medicare?
Yes. Beta Medical Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beta Medical Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Beta Medical Practice PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beta Medical Practice PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beta Medical Practice PLLC 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 Beta Medical Practice PLLC was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Beta Medical Practice Pllc · NPI 1619754116
Nephrology organization in Saint Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1619754116 (Entity type: Organization)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Hilana Kaafarani, PRESIDENT/OWNER
## Practice location
- **Address:** 22631 GREATER MACK AVE STE 100, Saint Clair Shores, MI 48080-2055
- **Phone:** (248) 331-5158
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619754116) · Data from the CMS NPPES public registry.