Bio-Medical Applications of Michigan, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.

Doing business as

Bma Romulus

Practice address

11200 Metro Airport Center Dr Ste 120
Romulus, MI 48174-5499

Phone

(734) 955-7333

Fax

(734) 955-6971

NPI assigned

Aug 20, 2006

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• BMA ROMULUS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376658138. Details of each certification follow.

• CCN 232555 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 232555

Legal name

FMC DIALYSIS SERVICES-ROMULUS

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Nov 14, 1997

Last certification

Aug 10, 2023

Ownership / control type

For Profit

Multi-facility organization

FRESENIUS MEDICAL CARE

Facility address

11200 Metro Airport Center Dr
Romulus, MI 48174

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  dba RCC Wellington

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Worth, FL
  • NPI 1871695163

  Member Of

  NPD member

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vidooshi Gupta Maru, MD

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1841314978

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1376658138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 METRO AIRPORT CENTER DR STE 120",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481745499",
            "telephone_number": "734-955-7333",
            "fax_number": "734-955-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 METRO AIRPORT CENTER DR STE 120",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481745499",
            "telephone_number": "734-955-7333",
            "fax_number": "734-955-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BMA ROMULUS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMA ROMULUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Romulus, MI
• Providers in Romulus, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.