METRO DETROIT KIDNEY DOCTORS, P.C. (NPI# 1205008877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205008877 |
| Entity Type | Organization |
| Organization Name | METRO DETROIT KIDNEY DOCTORS, P.C. |
| Practice Address |
27550 Schoenherr Rd Suite 200 Warren MI 48088-4798 |
| Practice Telephone | 5867764200 |
| Practice Fax Number | 5869332353 |
| Mailing Telephone | 5867764200 |
| Mailing Fax Number | 5869332353 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | NAYNA S NAGRECHA (OWNER) |
| Authorized Official Telephone | 3134173876 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians | |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 110E024840 | 01 |
| Street Address |
27550 SCHOENHERR RD SUITE 200 |
| City | WARREN |
| State | MI |
| Zip Code | 48088-4798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730192832 | Anthony Petrilli | Psychiatry & Neurology | 27550 Schoenherr Rd, Suite 300, Warren, MI 48088-4798 | 2006-08-14 |
| 1245317353 | Woods Cardiovascular Interna Medicine Associastes, P.C. | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-11-01 |
| 1528154911 | Michael F Romanelli | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-05 |
| 1639265895 | Woods Cardiovascular Internal Medicine Associates, P.C. | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-05 |
| 1306931068 | David A Graham | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-04 |
| 1245325927 | Michael L Faber | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-04 |
| 1629163316 | Raymond C Christensen | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-04 |
| 1891880571 | Steven D Buchan | Internal Medicine | 27550 Schoenherr Rd, Suite 200, Warren, MI 48088-4798 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377784 | Dr Walead Latif Professional Corporation | Internal Medicine | 1 Thistle Ln, Warren, NJ 07059-5564 | 2020-02-04 |
| 1770662827 | Metropolitan Nephrologists PC | Internal Medicine | 11900 Twelve Mile, Suite 200, Warren, MI 48093 | 2006-11-02 |
| 1396753372 | Sreelatha Penumalee | Internal Medicine | 11900 Twelve Mile Road, Suite 200, Warren, MI 48093 | 2006-08-04 |
| 1497883706 | Rhonda Michelle Johnson | Internal Medicine | 11900 E 12 Mile Rd, Suite 200, Warren, MI 48093-3400 | 2007-02-28 |
| 1376687111 | Michael A Sriro | Internal Medicine | 11900 Twelve Mile, Suite 200, Warren, MI 48093 | 2007-02-16 |
| 1700929676 | Christine A Stein | Internal Medicine | 11900 E 12 Mile Rd, Suite 200, Warren, MI 48093-3400 | 2007-02-14 |
| 1760595060 | Robert E Hillyer | Internal Medicine | 11900 Twelve Mile Road, Suite 200, Warren, MI 48093 | 2006-08-17 |
| 1336151257 | Michelle Marie Woinarowicz | Internal Medicine | 109 S Minnesota St, North Valley Health Center Clinic, Warren, MN 56762 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1740823459 | Critical Care Nephrology, PC | Internal Medicine | 333 E Parent Ave, Royal Oak, MI 48067-3748 | 2019-10-25 |
| 1568948537 | Amanda Thelen | Internal Medicine | 405 W Greenlawn Ave Ste 230, Lansing, MI 48910-0812 | 2018-07-12 |
| 1023507357 | James Francis Murphy | Internal Medicine | Hope Medical Clinic 518 Harriet St., Ypsilanti, MI 48197-0311 | 2018-05-02 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1982129805 | Abhay Mishra | Internal Medicine | 4160 John R St Ste 908, Detroit, MI 48201-2017 | 2017-08-11 |
| 1326586959 | Alhaji Consultant Pllc | Internal Medicine | 29201 Chateau Ct, Farmington Hills, MI 48334-4112 | 2017-02-02 |
| 1033669445 | T-beyene Hypertension & Kidney Care Plc | Internal Medicine | 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 | 2016-10-10 |
| 1285085860 | Omer Yousif | Internal Medicine | 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 | 2016-06-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.