Active NPI
Rene Cardenas, MD
- Family Medicine Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301514587
- Practice address
- 1401 W North St
Jackson, MI 49202-3135 - Phone
- (517) 782-2555
- NPI assigned
- May 14, 2021
- Last updated
- Sep 7, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301514587 | MI | Primary |
Addresses
Primary practice location
1401 W North St
Jackson, MI 49202-3135
Mailing address
205 N East Ave
Jackson, MI 49201-1753
Other practice location 1
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 W N St
Hfa Walk in Clinic North Street
Jackson, MI 49202-3135
Phone (517) 205-2555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301514587 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Family Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806
1401 W North St
Jackson, MI 49202
Phone (517) 205-2555
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
Interoperability endpoints
- rcardenas729709@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Family Medicine Physician
- Jackson, MI
- NPI 1962953034
-
dba Henry Ford Allegiance Health
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757203200000",
"number": "1023682085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W NORTH ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023135",
"telephone_number": "517-782-2555"
}
],
"practiceLocations": [
{
"address_1": "205 N East Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011753",
"country_code": "US",
"telephone_number": "517-205-3964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "RENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301514587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.