Mid-Michigan Kidney and Hypertension Specialists, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301062608 Issued in MI

Legal business name

MID-MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C.

Practice address

5080 Villa Linde Pkwy
Suite 2
Flint, MI 48532-3411

Phone

(810) 720-0162

Fax

(810) 720-0301

NPI assigned

May 22, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagdish Mirchandani, M.D.NPI 1710940853

Title

President

Phone

(810) 720-0162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jagdish Mirchandani, M.D.

  • Nephrology Physician
  • Flint, MI
  • NPI 1710940853
  Medicare reassignment Care Compare group NPD Authorized official
• Sundar Ramanathan, M.D.

  • Nephrology Physician
  • Flint, MI
  • NPI 1629105234
  Medicare reassignment Care Compare group NPD
• Nabil Zaki, M.D.

  • Nephrology Physician
  • Flint, MI
  • NPI 1447213285
  Medicare reassignment Care Compare group NPD
• Mary Lena Boulos-Alkhouri, DNP

  • Nurse Practitioner
  • Flint, MI
  • NPI 1669239489
  NPD (past)
• Melissa Dawn Pieper, MBA, RD, CSR

  • Renal Nutrition Registered Dietitian
  • Grand Blanc, MI
  • NPI 1467634014
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1649224627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MOMENTUM PL",
            "address_2": "LOCKBOX NUMBER 231711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895317",
            "telephone_number": "810-732-5482",
            "fax_number": "810-720-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 VILLA LINDE PKWY",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323411",
            "telephone_number": "810-720-0162",
            "fax_number": "810-720-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MIRCHANDANI",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-0162",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301062608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Gastroenterology Associates
• Mid Michigan Home Health and Hospice LLC
• Mid Michigan Home Health Care,Inc
• Mid-Michigan Cardiology Associates PLC
• Mid-Michigan Endoscopy Center, PLLC (Charter Endoscopy Center)
• Mid-Michigan Pain Management Center, PLC
• Mid-Michigan Pediatric Dentistry
• Nancy Middleditch, RN
• Noel Midler
• Midwest Medical Management

• Nephrology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.