DIALYSIS AND NEPHROLOGY CONSULTANTS – Nephrology Physician, NPI 1104891159
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIALYSIS AND NEPHROLOGY CONSULTANTS
3170 S PROFESSIONAL DR
BAY CITY, MI 487062823
Phone: (989) 667-8872
Fax: (989) 686-8514
Type: Location
648 PROGRESS STREET
STE 101
WEST BRANCH, MI 486618602
Phone: (586) 446-8400
Fax: (586) 446-8423
Type: Mailing
648 PROGRESS ST STE 101
WEST BRANCH, MI 486618602
Phone: (989) 345-0204
Fax: (989) 345-3727
Type: Location
47718 VAN DYKE AVE
SHELBY TOWNSHIP, MI 483173302
Phone: (586) 446-8400
Fax: (586) 446-8423
Type: Mailing
6220 FAIRWAY PINES COURT 2
BAY CITY, MI 487069350
Phone: (248) 703-0995
Fax: (989) 667-4655
Type: Mailing
2464, Wexford Drive, Buckingham Woods, Troy, Oakland County, Michigan, 48084, United States
TROY, MI 480842712
Phone: (248) 703-0995
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (20 days away).
Enrollment records
1
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050413000874 | O | Clinic/Group Practice | MI | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48706)
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