NPIMap

Organization Active NPI

Nephrology & Internal Medicine PC

Doing business as Nephrology and Hypertension

  • Specialist
  • Flint, MI
National Provider Identifier
1730190596
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGY & INTERNAL MEDICINE PC
Doing business as
Nephrology and Hypertension
Practice address
G3404 Miller Rd
Flint, MI 48507-1238
Phone
(810) 238-4172
Fax
(810) 238-4153
NPI assigned
Aug 10, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Dr. Ali Mohammed, MDNPI 1396735940
Title
President
Phone
(810) 238-4172

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

G3404 Miller Rd
Flint, MI 48507-1238

Mailing address

G3404 Miller Rd
Flint, MI 48507-1238
Phone (810) 238-4172

Other names 1

  • Nephrology and Hypertension Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000919 MI Part B Supplier - Clinic/Group Practice 9234100835 Receives reassigned benefits from 10 practitioners
Practice locations: East Lansing, MI; Flint, MI; Grand Blanc, MI; Owosso, MI

National Provider Directory

National Provider Directory

Locations

G1071 N Ballenger Hwy
Ste 310
Flint, MI 48504
Phone (810) 238-4172

G3404 Miller Rd
Flint, MI 48507
Phone (810) 238-4172

9463 Holly Rd
Ste 102
Grand Blanc, MI 48439
Phone (810) 579-2600

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1730190596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3404 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071238",
            "telephone_number": "810-238-4172",
            "fax_number": "810-238-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3404 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071238",
            "telephone_number": "810-238-4172",
            "fax_number": "810-238-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY & INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-238-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology and Hypertension",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephrology and Hypertension",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.