Individual provider Active NPI

Mindy Raminick, D.O.

  • Nephrology Physician
  • Sterling Heights, MI
National Provider Identifier
1306292438
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101026106 Issued in MI
Practice address
5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005
Phone
(248) 290-3111
Fax
(248) 290-3100
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5151010997 MI
Nephrology Physician 207RN0300X 5101026106 MI Primary

Addresses

Primary practice location

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005

Mailing address

1512 Mohawk Ave
Royal Oak, MI 48067-3334

Other practice location 1

15520 19 Mile Rd Ste 480
Clinton Township, MI 48038-6332
Phone (586) 228-1010

Other practice location 2

28080 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5966
Phone (248) 471-8989

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
I20210519002839 MI Practitioner - Nephrology 1658664123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

44200 Woodward Ave
Suite 209
Pontiac, MI 48341-5045
Phone (248) 253-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151010997MIMDInternal Medicine Physician
5101026106MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Kidney Consultants, P.C. Nephrology CurrentSince Jun 30, 2022 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

44200 Woodward Ave
Ste 209
Pontiac, MI 48341
Phone (248) 253-0330

5280 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 446-8688

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

Interoperability endpoints

  • Direct secure messaging: mraminick517747@direct.hfhs.org
  • Direct secure messaging: mraminick42000@direct.acumenmd.com

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 5

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1306292438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 MOHAWK AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15520 19 Mile Rd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386332",
            "country_code": "US",
            "telephone_number": "586-228-1010",
            "fax_number": "586-228-8570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28080 Grand River Ave",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365966",
            "country_code": "US",
            "telephone_number": "248-471-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMINICK",
        "first_name": "MINDY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151010997",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101026106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.