RENAL CONSULTANT PC – NPI #1164734596
Internal Medicine

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.

RENAL CONSULTANT PC is a provider located in TROY, MI. NPPES has assigned the NPI number 1164734596 to RENAL CONSULTANT PC on July 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 2 years ago on Dec 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENAL CONSULTANT PC below.

NPI Profile for
RENAL CONSULTANT PC

NPI Number
1164734596
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAL CONSULTANT PC
Primary location
1380 COOLIDGE HWY STE 150
TROY, MI 48084-7058
Phone: (248) 817-5264 Fax: (248) 829-7752
Mailing address
PO BOX 251221
WEST BLOOMFIELD, MI 48325-1221
Phone: (248) 720-9226 Fax:
Organization Subpart
No
Authorized Official
GAMPALA REDDY
PRESIDENT
Phone: (248) 817-5264
Updated
Certification Date
Dec 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RENAL CONSULTANT PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSMI0F39037
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
MI GR088423

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.