Kaiser Medical Center PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KAISER MEDICAL CENTER PC

Doing business as

Kaiser medical center

Practice address

24025 Greater Mack Ave Ste 103
Saint Clair Shores, MI 48080-4311

Phone

(586) 806-3220

Fax

(586) 350-0099

NPI assigned

Sep 24, 2007

Last updated

May 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elango Edhayan, MDNPI 1770680381

Title

Director

Phone

(313) 549-9595

Specialties & licenses 1

Addresses

Other names 1

• Kaiser medical center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Eastside Trauma & Specialty Surgeons

  • Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1730395419

  Member Of

  NPD member

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elango Edhayan, MD

  • Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1770680381
  Medicare reassignment NPD Authorized official
• Madhavi Kanneganti, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Warren, MI
  • NPI 1881768075
  Medicare reassignment NPD
• Bernadette Joy Mason, FNP-BC

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1194034181
  Medicare reassignment NPD
• Kemi Osanaiye

  • Family Nurse Practitioner
  • Troy, MI
  • NPI 1124605720
  Medicare reassignment NPD
• Rajendra Bothra, M.D.

  • Specialist
  • Warren, MI
  • NPI 1497839328
  NPD (past)
• Doris V Coca-Soto, M.D.

  • Family Medicine Physician
  • Alpena, MI
  • NPI 1093882631
  NPD (past)
• Luis Collazo, MD

  • Family Medicine Physician
  • Fraser, MI
  • NPI 1699849885
  NPD (past)
• Irwin H Estrine, D.O.

  • Orthopaedic Surgery Physician
  • West Bloomfield, MI
  • NPI 1740378447
  NPD (past)
• Chander Kanta, MD

  • Internal Medicine Physician
  • Center Line, MI
  • NPI 1558467373
  NPD (past)
• Manish M Thusay, MD

  • Surgery Physician
  • Oregon, OH
  • NPI 1376540385
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1235325226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE STE 103",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804311",
            "telephone_number": "586-806-3220",
            "fax_number": "586-350-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE STE 103",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804311",
            "telephone_number": "586-806-3220",
            "fax_number": "586-350-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "EDHAYAN",
        "authorized_official_first_name": "ELANGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-549-9595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David C Kacir, DDS, MS
• Eve Kaczmarek, MA, LLPC
• Kade Performance Institute, PLLC (KADE Performance Institute)
• MD Mohaymin Kadir, MD
• Abigail Mae Kafarski, OTR/L
• Robert Joseph Kaiser Jr., LPC
• Steven Kalbfleisch, LMSW
• Nicole Kalich
• Nicole Marie Kaput, DPT
• Roxolana Karanecrh, RD

• Surgery Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.