Organization Active NPI

Nephrology Consultants, PC

  • Specialist
  • Berkley, MI
National Provider Identifier
1487608014
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGY CONSULTANTS, PC
Practice address
27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919
Phone
(248) 414-5377
Fax
(248) 541-0542
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. John Peyton Speck, M.D.NPI 1740227768
Title
President
Phone
(247) 414-5377

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919

Mailing address

27901 Woodward Ave
Suite 210
Berkley, MI 48072-0919
Phone (248) 414-5377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000340 MI Part B Supplier - Clinic/Group Practice 2668436544 Receives reassigned benefits from 6 practitioners
Practice locations: Southfield, MI; Troy, MI; Sterling Heights, MI; Royal Oak, MI; Oak Park, MI; Novi, MI; Hazel Park, MI; Commerce Township, MI…

National Provider Directory

National Provider Directory

Locations

27901 Woodward Ave
Ste 210
Berkley, MI 48072
Phone (248) 414-5377

120 W Commerce Rd
Commerce Township, MI 48382
Phone (248) 363-4862

21900 Melrose Ave
Southfield, MI 48075
Phone (248) 356-8079

2050 Livernois Rd
Troy, MI 48083
Phone (248) 524-1270

Practitioners & affiliated clinicians

Practitioners 8

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1487608014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-414-5377",
            "fax_number": "248-541-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-414-5377",
            "fax_number": "248-541-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PEYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "247-414-5377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.