Active NPI
Renato Borges Rodig
- Registered Dietitian
- Detroit, MI
National Provider Identifier
1013886522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86370841
- Practice address
- 300 Riverfront Dr Unit 28F
Detroit, MI 48226-5422 - Phone
- (313) 505-4402
- NPI assigned
- Nov 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86370841 | MI | Primary |
Addresses
Primary practice location
300 Riverfront Dr Unit 28F
Detroit, MI 48226-5422
Mailing address
300 Riverfront Dr Unit 28F
Detroit, MI 48226-5422
Phone (313) 505-4402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86370841 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1013886522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 RIVERFRONT DR UNIT 28F",
"city": "DETROIT",
"state": "MI",
"postal_code": "482265422",
"telephone_number": "313-505-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RIVERFRONT DR UNIT 28F",
"city": "DETROIT",
"state": "MI",
"postal_code": "482265422",
"telephone_number": "313-505-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGES RODIG",
"first_name": "RENATO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86370841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.