NEPHROLOGY HYPERTENSION CLINIC PC – NPI #1225103740
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.

NEPHROLOGY HYPERTENSION CLINIC PC is a provider located in ALLEN PARK, MI. NPPES has assigned the NPI number 1225103740 to NEPHROLOGY HYPERTENSION CLINIC PC on November 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 5 additional location(s) assigned to this provider which are listed below. 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 7 years ago on Jan 30, 2019. 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 NEPHROLOGY HYPERTENSION CLINIC PC below.

NPI Profile for
NEPHROLOGY HYPERTENSION CLINIC PC

NPI Number
1225103740
Enumeration Date

(more than 19 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
NEPHROLOGY HYPERTENSION CLINIC PC
Primary location
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Phone: (313) 271-3000 Fax: (313) 271-3003
5 Other location(s):
16407 Southfield Rd
Allen Park, MI 48101
Phone: (313) 271-3000
Fax: (313) 271-3003
2050 N Haggerty Rd Ste 260
Canton, MI 48187
Phone: (313) 271-3000
Fax: (313) 271-3003
4700 Greenfield Rd Ste 1A
Dearborn, MI 48126-4124
Phone: (313) 271-3000
Fax: (313) 271-3003
14752 Northline Rd
Southgate, MI 48195-2467
Phone: (734) 285-5030
Fax: (734) 285-8223
5715 N Venoy Rd
Westland, MI 48185
Phone: (734) 513-2910
Fax: (734) 513-6929
Mailing address
PO BOX 77000 DEPT 771255
DETROIT, MI 48277-2000
Phone: (313) 271-3000 Fax: (313) 271-3003
Organization Subpart
No
Authorized Official
SUDHEER UMMADI
MANAGER
Phone: (313) 271-3000
Updated
Identifiers

Identifiers for NEPHROLOGY HYPERTENSION CLINIC 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
OTHERBCBSM110Q264340
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)

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.