Kidneys and Medical Care PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301064216 Issued in MI

Legal business name

KIDNEYS AND MEDICAL CARE PC

Practice address

2141 E Jefferson Ave
Detroit, MI 48207-4128

Phone

(313) 259-9075

Fax

(313) 259-3722

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Vinod Goyal, MDNPI 1669446050

Title

President

Phone

(313) 259-9075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Vinod Goyal, MD

  • Nephrology Physician
  • Detroit, MI
  • NPI 1669446050
  Medicare reassignment NPD Authorized official
• Amitha Kakulavaram, M.D.

  • Nephrology Physician
  • Pontiac, MI
  • NPI 1720267800
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1831141225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6576 CHELSEA BRIDGE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074128",
            "telephone_number": "313-259-9075",
            "fax_number": "313-259-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEYS AND MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-259-9075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301064216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherena Kidd
• Valerie Kidd
• Kidds Comfort Transportation Services,LLC
• Kidney Centers of Michigan LLC (New Center Dialysis)
• Kidney Centers of Michigan LLC (Detroit Dialysis Center)
• Kids Talk Children's Advocacy Center
• Austin Kieffer
• Jillian Kielbasa
• Scott Kienzle, MA, CCC-SLP
• Thomas Charles Kies Jr., LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.