Kidney & Hypertension Center P.C

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY & HYPERTENSION CENTER P.C

Practice address

43171 Dalcoma Dr Ste 9
Clinton Township, MI 48038-6307

Phone

(586) 228-6603

Fax

(586) 228-6613

NPI assigned

Mar 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark A. Mishack, M.D.NPI 1831191485

Title

Nephrologist

Phone

(586) 228-6603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Mishack, MD

  • Nephrology Physician
  • Clinton Township, MI
  • NPI 1831191485
  Medicare reassignment NPD Authorized official
• Eva Saha, M.D.

  • Nephrology Physician
  • Clinton Township, MI
  • NPI 1023117025
  NPD (past)
• Anil K Thomas, MD

  • Pulmonary Disease Physician
  • Clinton Township, MI
  • NPI 1972619179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1093956799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR STE 9",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-228-6603",
            "fax_number": "586-228-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR STE 9",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-228-6603",
            "fax_number": "586-228-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION CENTER P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MISHACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "586-228-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugeniya Khanukov, MD
• Abdo-Rahman Mohammad Khassawneh, MD
• Kunal Manojbhai Khatri, RPT
• Nimmish Khera, M.D.
• Verona Khishola
• Kelley Kidwell, LLMSW
• Malathy Kilaru, M.D
• Zoe Kilgore
• James D Kimbrough Jr.
• Patricia King

• Nephrology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.