Organization Active NPI

Total Kidney Care

  • Nephrology Physician
  • Mt Pleasant, MI
National Provider Identifier
1437504537
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
TOTAL KIDNEY CARE
Practice address
411 W Broadway St
Mt Pleasant, MI 48858-2446
Phone
(989) 797-1400
Fax
(989) 797-4077
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Muwaffaq Salameh, M.D.NPI 1851647390
Title
Physician
Phone
(989) 797-1400

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

411 W Broadway St
Mt Pleasant, MI 48858-2446

Mailing address

3037 Davenport Ave
Saginaw, MI 48602-3652
Phone (989) 797-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519002210 MI Part B Supplier - Clinic/Group Practice 0446549166 Receives reassigned benefits from 6 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

200 S Wenona St
Ste 105
Bay City, MI 48706

200 S Wenona St
Bay City, MI 48706
Phone (989) 892-6587

404 S Crapo St
Mt Pleasant, MI 48858
Phone (989) 779-8724

10450 N Roscommon Rd
Roscommon, MI 48653
Phone (989) 275-0362

5641 Bay Rd
Saginaw, MI 48604
Phone (989) 249-1350

3037 Davenport Ave
Saginaw, MI 48602
Phone (989) 399-9233

Practitioners & affiliated clinicians

Practitioners 7

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1437504537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023652",
            "telephone_number": "989-797-1400",
            "fax_number": "989-797-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582446",
            "telephone_number": "989-797-1400",
            "fax_number": "989-797-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL KIDNEY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SALAMEH",
        "authorized_official_first_name": "MUWAFFAQ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-797-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.