BEAUMONT KIDNEY SPECIALTY SERVICES LLC
NPI 1669703799
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Southfield, MI

NPI Status: Active since January 29, 2010

Contact Information

26400 W 12 MILE RD
SUITE 112
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 457-7648

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 23D2012091
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-26-2026

About BEAUMONT KIDNEY SPECIALTY SERVICES LLC

This page provides the complete NPI Profile along with additional information for Beaumont Kidney Specialty Services Llc, a provider established in Southfield, Michigan operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1669703799 assigned on January 2010. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Sami Saleh Zarouk Md (President)

NPI
1669703799
Provider Name
BEAUMONT KIDNEY SPECIALTY SERVICES LLC
Entity Type
Organization
Location Address
26400 W 12 MILE RD SUITE 112 SOUTHFIELD, MI 48034
Location Phone
(248) 457-7648
Mailing Address
26400 W 12 MILE RD SUITE 112 SOUTHFIELD, MI 48034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2010
Last Update Date
05-23-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMI SALEH ZAROUK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 457-7648

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2012091
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 27, 2024
Certificate Expiration Date
August 26, 2026
Laboratory Director
DEBORAH COUNTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beaumont Kidney Specialty Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669703799, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 4 + 0 + 6 + 7 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1669703799.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, STE 150
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 110
SOUTHFIELD, MI 48034
Dentist
26400 W 12 MILE RD, SUITE#160
SOUTHFIELD, MI 48034
Urology
26400 W 12 MILE RD, SUITE 70
SOUTHFIELD, MI 48034
Preventive Medicine (Occupational Medicine)
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Internal Medicine (Gastroenterology)
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
26400 W 12 MILE RD, STE 140
SOUTHFIELD, MI 48034
Obstetrics & Gynecology (Gynecology)
26400 W 12 MILE RD, SUITE 140
SOUTHFIELD, MI 48034
Ophthalmology
26400 W 12 MILE RD, STE 60
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Hearing Aid Equipment
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Eyewear Supplier
26400 W 12 MILE RD, SUITE 60
SOUTHFIELD, MI 48034
Physical Therapist
26400 W 12 MILE RD, SUITE 25
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669703799, enumerated as an "organization" on January 29, 2010.

The provider is located at 26400 W 12 MILE RD SUITE 112 SOUTHFIELD, MI 48034 and the phone number is (248) 457-7648.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.