NPIMap

Organization Active NPI

Detroit Kidney Care, P.C.

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1942811351
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DETROIT KIDNEY CARE, P.C.
Practice address
1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone
(855) 962-4638
NPI assigned
Aug 11, 2020
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Laura Chandhok
Title
Director, Support Operations
Phone
(720) 806-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1125 17TH St Ste 1000
Denver, CO 80202-2043

Mailing address

1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone (855) 962-4638

Other practice location 1

30700 Telegraph Rd Ste 1540
Bingham Farms, MI 48025-5811
Phone (720) 806-1538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929002555 MI Part B Supplier - Clinic/Group Practice 4981023645 Receives reassigned benefits from 37 practitioners
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

30700 Telegraph Rd
Ste 1540
Bingham Farms, MI 48025
Phone (313) 631-7878

100 Kercheval Ave
Ste C
Grosse Pointe Farms, MI 48236

18001 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 218-5800

3535 W 13 Mile Rd
Ste 247
Royal Oak, MI 48073
Phone (248) 288-9340

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1942811351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30700 Telegraph Rd Ste 1540",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480255811",
            "country_code": "US",
            "telephone_number": "720-806-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DETROIT KIDNEY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CHANDHOK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR, SUPPORT OPERATIONS",
        "authorized_official_telephone_number": "720-806-1538"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.