Nephrology & Intensive Care Assoc PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

4301059326 Issued in MI

Legal business name

NEPHROLOGY & INTENSIVE CARE ASSOC PLLC

Practice address

16151 19 Mile Rd
Suite 301
Clinton Township, MI 48038-1158

Phone

(586) 228-7433

Fax

(586) 412-3924

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Omokayode Adebisi Osobamiro, M.D.NPI 1518951672

Title

Owner

Phone

(586) 228-7433

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Omokayode A. Osobamiro, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton TWP, MI
  • NPI 1518951672
  Medicare reassignment Care Compare group NPD Authorized official
• Siby Binu, FNP

  • Family Nurse Practitioner
  • Clinton Township, MI
  • NPI 1184357139
  Medicare reassignment Care Compare group NPD
• Leanne Marie Kook, NP

  • Family Nurse Practitioner
  • Clinton TWP, MI
  • NPI 1013243815
  Medicare reassignment Care Compare group NPD
• Shoma Thomas

  • Family Nurse Practitioner
  • Clinton TWP, MI
  • NPI 1104341783
  Medicare reassignment Care Compare group NPD
• Ahmer O Rehman, MD

  • Nephrology Physician
  • Canton, MI
  • NPI 1346255072

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1689614414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82057",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483082057",
            "telephone_number": "248-969-3220",
            "fax_number": "248-274-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD",
            "address_2": "SUITE 301",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381158",
            "telephone_number": "586-228-7433",
            "fax_number": "586-412-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY & INTENSIVE CARE ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "OSOBAMIRO",
        "authorized_official_first_name": "OMOKAYODE",
        "authorized_official_middle_name": "ADEBISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-228-7433",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059326",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301059326",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301059326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10 4841551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1105018352",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Loretta Ndoj, DO
• Irine-Valeria Neba
• Ashlesh Choudary Nekkanti
• Sarah E Nelson
• Michelle L Nemick
• Christine Netschke
• Michele Lynn Neubauer, LBSW
• Neurological Institute of Michigan PC
• Neurosurgery and Spine Care PLLC (Enhance Center for Interventional Spine and Sports)
• Neurosurgery Group P.C. (Wellness Physical Medicine Center)

• Critical Care Medicine (Internal Medicine) Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Critical Care Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.