ABDUL R EFFENDI (MD) – Nephrology Physician, NPI 1881647584

ABDUL R EFFENDI (MD) is a healthcare provider. based in Roseville, Michigan. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 058052 (MI). The NPI Number for ABDUL R EFFENDI (MD) is 1881647584

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL R EFFENDI (MD)
NPI
1881647584
Phone
(586) 772-2600
Address
25710 KELLY RD
Enumeration Date
17 May 2006
Last Update Date
18 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5863230400
Graduation Year
1989 (37 years ago)
PAC ID
3870535248
Group Practice PAC ID
7416088463
Professional Enrollment ID
I20050526000052
Address ID
MI483143255ST42755RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

434 NEPHROLOGY in MI

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Provider Addresses for ABDUL R EFFENDI (MD)

  • 25710, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States

    STE 1

    ROSEVILLE, MI 480664959

    Phone: (586) 772-2600

    Fax: (586) 772-5289

    Type: Mailing

  • 1, Kelly Road, Prince County, Prince Edward Island, Canada

    ROSEVILLE, MI 480664959

    Phone: (586) 772-2600

    Fax: (586) 772-5289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,134.

Total Amount is formed as General ($1,134) + Research ($0) + Ownership ($0) = $1,134.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($263).

Total Amount

$1,134

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050526000052INephrologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,137301$0
99214Established patient office or other outpatient visit, 30-39 minutes751285$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes667237$0
36415Insertion of needle into vein for collection of blood sample396203$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes199176$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416088463View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMI
Internal MedicineMI
Physical Medicine And RehabilitationMI
-MI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMI
Internal Medicine, GastroenterologyMI
Nephrology, Internal MedicineMI
Gastroenterology, Internal MedicineMI
P O D I A T R YMI

Reviews

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Frequently asked questions

What is the registry number for ABDUL R EFFENDI (MD)?
The registry entry for ABDUL R EFFENDI (MD) shows NPI 1881647584.
Does the public listing show ABDUL R EFFENDI (MD) as active?
ABDUL R EFFENDI (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret ABDUL R EFFENDI (MD)'s specialty?
The extract shows Nephrology Physician for ABDUL R EFFENDI (MD). Clinical services aligned with this taxonomy classification.
Is ABDUL R EFFENDI (MD) tied to Roseville, Michigan?
If you are local to Roseville, Michigan, ABDUL R EFFENDI (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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