Organization Active NPI

Oakland Kidneycare PLLC

  • Nephrology Physician
  • Troy, MI
National Provider Identifier
1245067925
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
OAKLAND KIDNEYCARE PLLC
Practice address
44201 Dequindre Rd.
Troy, MI 48085
Phone
(313) 766-2080
Fax
(313) 490-1519
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Neetu Sharma, MD
Title
Owner
Phone
(313) 204-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

44201 Dequindre Rd.
Troy, MI 48085

Mailing address

1129 W 14 Mile Rd Ste 1055
Clawson, MI 48017-2801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1245067925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W 14 MILE RD STE 1055",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "313-766-2080",
            "fax_number": "313-490-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND KIDNEYCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-204-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.