Individual provider Active NPI

Klodia Hermez, DO

  • Nephrology Physician
  • Berkley, MI
National Provider Identifier
1164089637
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101025728 Issued in MI
Practice address
27901 Woodward Ave Ste 210
Berkley, MI 48072-0918
Phone
(248) 414-5377
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5101025728 MI Primary

Addresses

Primary practice location

27901 Woodward Ave Ste 210
Berkley, MI 48072-0918

Mailing address

27901 Woodward Ave Ste 210
Berkley, MI 48072-0918
Phone (248) 414-5377

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001483 MI Practitioner - NephrologyPractitioner - Internal Medicine 1153654843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Consultants PCGroup PAC ID 2668436544, 5 clinicians

Practice addresses (Care Compare)

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0918
Phone (248) 414-5377

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Consultants, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

27901 Woodward Ave
Ste 210
Berkley, MI 48072
Phone (248) 414-5377

Interoperability endpoints

  • Direct secure messaging: khermez2739145@epic00.corewelldirect.org
  • Direct secure messaging: khermez467273@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1164089637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE STE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720918",
            "telephone_number": "248-414-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE STE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720918",
            "telephone_number": "248-414-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMEZ",
        "first_name": "KLODIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101025728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.