Active NPI
Nephrology Center of Eastpointe LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eastpointe, MI
National Provider Identifier
1396100319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396100319 | Medicaid | MI |
Other names 1
- Dialysis Centers of Michigan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Michigan
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 2, 2016
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2107494 | Dialysis Centers of Michigan Eastpointe | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Saint Clair Shores, MI
- NPI 1720298136
Dialysis facility
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.