Kidney and Vascular Associates PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY AND VASCULAR ASSOCIATES PC

Doing business as

Kidney and Vascular Associates

Practice address

11051 Hall Rd Ste 240
Utica, MI 48317-5742

Phone

(586) 295-8885

Fax

(586) 884-3530

NPI assigned

Jan 10, 2023

Last updated

Jul 6, 2023By 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

Samantha Middleton

Title

Credentialing

Phone

(989) 321-8918

Specialties & licenses 1

Addresses

Other names 1

• Kidney and Vascular Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Richard John Cross, MD

  • Nephrology Physician
  • Saint Clair Shores, MI
  • NPI 1972771061
  Medicare reassignment NPD
• Michael Comer, DO

  • Nephrology Physician
  • Chardon, OH
  • NPI 1962990424

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1750095212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3272",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486053272",
            "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": "11051 HALL RD STE 240",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175742",
            "telephone_number": "586-295-8885",
            "fax_number": "586-884-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND VASCULAR ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "989-321-8918"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney and Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney and Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph M Hildebrand DDS PC
• Hannah Kaganac, PHD, LLP
• Catherine Kattoula, LPC
• Keith a Brennan DC PLLC
• Ghaida Khodher, MD
• Erin Michelle Klena
• KN Mental Health Services LLC
• Earl R Koenig, MD
• Karolina Kulinska, L.L.P.C.
• Hollie Carlene Kushner, DC

• Nephrology Physician in Utica, MI
• Providers in Utica, 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 6, 2023; 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.