NPIMap

Individual provider Active NPI

Nkie Florentia Forsac, MD

  • Nephrology Physician
  • Warren, MI
National Provider Identifier
1871505594
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
063457 Issued in MI
Practice address
11885 E 12 Mile Rd Ste 302B
Warren, MI 48093-3467
Phone
(586) 558-9033
Fax
(586) 573-4209
NPI assigned
Aug 12, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 063457 MI
Nephrology Physician 207RN0300X 063457 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd Ste 302B
Warren, MI 48093-3467

Mailing address

11885 E 12 Mile Rd Ste 302B
Warren, MI 48093-3467
Phone (586) 558-9033

Other identifiers 1

IdentifierTypeStateIssuer
1444360MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000982 MI Practitioner - NephrologyPractitioner - Internal Medicine 6103878426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Nephrologists PCGroup PAC ID 2466418215, 9 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Warren, MI 48093-3467
Phone (586) 558-9033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
063457MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrologists PC Nephrology CurrentSince Jul 12, 1999 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

11885 E 12 Mile Rd
Ste 302B
Warren, MI 48093
Phone (586) 558-9033

11900 E 12 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 558-9033

Interoperability endpoints

  • Direct secure messaging: nforsac1127034@direct.hfhs.org
  • Direct secure messaging: nforsac586142@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1871505594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 302B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933467",
            "telephone_number": "586-558-9033",
            "fax_number": "586-573-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 302B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933467",
            "telephone_number": "586-558-9033",
            "fax_number": "586-573-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSAC",
        "first_name": "NKIE",
        "middle_name": "FLORENTIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "063457",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "063457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.