Organization Active NPI

Renal Care Consultant, P.C

  • Clinic/Center
  • Canton, MI
National Provider Identifier
1407181571
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301091041 Issued in MI
Legal business name
RENAL CARE CONSULTANT, P.C
Practice address
7300 N Canton Center Rd
Canton, MI 48187-1579
Phone
(734) 454-8001
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Shazia Raza, M.DNPI 1831176189
Title
Physician
Phone
(734) 233-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301091041 MI Primary

Addresses

Primary practice location

7300 N Canton Center Rd
Canton, MI 48187-1579

Mailing address

PO Box 871337
Canton, MI 48187-6337
Phone (734) 233-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000671 MI Part B Supplier - Clinic/Group Practice 7719027101 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI; Wayne, MI

National Provider Directory

National Provider Directory

Locations

30900 Ford Rd
Garden City, MI 48135
Phone (734) 524-0920

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HACBCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1407181571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871337",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876337",
            "telephone_number": "734-233-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871579",
            "telephone_number": "734-454-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE CONSULTANT, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-233-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301091041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.