Renal Associates of West Michigan PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL ASSOCIATES OF WEST MICHIGAN PC

Practice address

330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267

Phone

(616) 752-6235

Fax

(616) 752-6324

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Boelkins, MDNPI 1942396437

Title

MD

Phone

(616) 752-6235

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 34

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.

• Ramandeep Singh Banga, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1093005373
  Medicare reassignment Care Compare group NPD
• Mark R Boelkins, MD

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1942396437
  Medicare reassignment NPD Authorized official
• Jan Michele Bowerman-Torres, FNP-BC

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1588056048
  Medicare reassignment Care Compare group NPD
• Scott Brian Buchowski, MD

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1790170629
  Medicare reassignment Care Compare group NPD
• Paul A Delyria, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1457690125
  Medicare reassignment Care Compare group NPD
• Saurabh Kumar Goel, MD

  • Nephrology Physician
  • Ann Arbor, MI
  • NPI 1760678221
  Medicare reassignment Care Compare group NPD
• Kali Gray, DO

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1003439852
  Medicare reassignment Care Compare group NPD
• Ronald Michael Hofmann, MD

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1295701209
  Medicare reassignment Care Compare group NPD
• Patrick James Jenkinson, DO, MBA, MS

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1871114348

  Nephrology

  Medicare reassignment Care Compare group NPD
• Daniel John Legault, MD

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1649204892
  Medicare reassignment Care Compare group NPD
• Melanie A Lyon, FNP

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1699436592
  Medicare reassignment Care Compare group NPD
• Daniel B Meyer, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1427412832
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1871674200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235",
            "fax_number": "616-752-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235",
            "fax_number": "616-752-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL ASSOCIATES OF WEST MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BOELKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "616-752-6235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871674200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geoffrey M. Remes, M.D.
• Leah Remijn, PA-C
• Lynda Remus
• Rheadon Remy, PA-C
• Renal and Hypertension Specialists, PLLC
• Erin Renbarger
• Kristy Michelle Rencher, M.ED.
• Renew Counseling Center
• Renewed Counseling Services
• Priya Rengaraj, PA-C

• Nephrology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.