Organization Active NPI

Nephrology Center of Eastpointe LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eastpointe, MI
National Provider Identifier
1396100319
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NEPHROLOGY CENTER OF EASTPOINTE LLC
Practice address
24931 Kelly Rd
Eastpointe, MI 48021-1384
Phone
(586) 771-0675
Fax
(586) 771-0677
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

24931 Kelly Rd
Eastpointe, MI 48021-1384

Mailing address

24931 Kelly Rd
Eastpointe, MI 48021-1384
Phone (586) 771-0675

Other identifiers 1

IdentifierTypeStateIssuer
1396100319MedicaidMI

Other names 1

  • Dialysis Centers of Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104000450 MI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2769784032 Practice locations: Eastpointe, MI

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Dialysis Centers of MichiganCCN 232712
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Sep 2, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2107494Dialysis Centers of Michigan Eastpointe24931 Kelly Road, Eastpointe, MI 48021Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

24931 Kelly Rd
Eastpointe, MI 48021
Phone (586) 447-4375

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1396100319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24931 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211384",
            "telephone_number": "586-771-0675",
            "fax_number": "586-771-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24931 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211384",
            "telephone_number": "586-771-0675",
            "fax_number": "586-771-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CENTER OF EASTPOINTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396100319",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Centers of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dialysis Centers of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.