Active NPI
Piti Ratanapanichkich, MD
- Nephrology Physician
- Troy, MI
National Provider Identifier
1336110592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301079313
- Practice address
- 4600 Investment Dr
Ste 290
Troy, MI 48098 - Phone
- (248) 267-5010
- Fax
- (248) 267-5011
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301079313 | MI | Primary |
Addresses
Primary practice location
4600 Investment Dr
Ste 290
Troy, MI 48098
Mailing address
1886 W Auburn Rd
Suite 400
Rochester Hills, MI 48309-3865
Phone (248) 290-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4448274 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000743 | MI | Practitioner - Nephrology | 1557364452 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Michigan Kidney Consultants PC
Practice addresses (Care Compare)
3475 Starr Rd
Royal Oak, MI 48073-2100
Phone (248) 290-3111
4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010
Hospital & facility affiliations
- Fresenius Kidney Care Beaumont Health - Sterling Heights
- DaVita West Bloomfield Dialysis
- Fresenius Kidney Care Rochester Hills Dialysis
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Trinity Health Oakland Hospital
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pratanapanichkich19036@direct.acumenmd.com
Organizations & group practices 1
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester Hills, MI
- NPI 1679083885
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1336110592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 W AUBURN RD",
"address_2": "SUITE 400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093865",
"telephone_number": "248-290-3111",
"fax_number": "248-290-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR",
"address_2": "STE 290",
"city": "TROY",
"state": "MI",
"postal_code": "48098",
"telephone_number": "248-267-5010",
"fax_number": "248-267-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATANAPANICHKICH",
"first_name": "PITI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301079313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4448274",
"state": "MI"
}
],
"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 Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.