NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC – NPI #1528254877
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 CONSULTANTS OF GRAND RAPIDS PC is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1528254877 to NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC on September 20, 2007. 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 18 years ago on Sep 26, 2008. 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 CONSULTANTS OF GRAND RAPIDS PC below.

NPI Profile for
NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC

NPI Number
1528254877
Enumeration Date

(more than 18 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 CONSULTANTS OF GRAND RAPIDS PC
Primary location
4070 LAKE DR SE
SUITE 201
GRAND RAPIDS, MI 49525
Phone: (616) 774-8200 Fax: (616) 774-0304
Mailing address
PO BOX 150185
GRAND RAPIDS, MI 49515-0185
Phone: (616) 866-2539 Fax: (616) 866-3135
Organization Subpart
No
Authorized Official
JESSICA TUCK
MANAGER BILLING
Phone: (616) 866-2539
Updated
Identifiers

Identifiers for NEPHROLOGY CONSULTANTS OF GRAND RAPIDS 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
MEDICAIDMI3371432
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 R0044045

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.