STATE FAIR DIALYSIS
NPI 1093083446
Internal Medicine - Nephrology in Detroit, MI

NPI Status: Active since December 13, 2011

Contact Information

19445 AFTON RD
DETROIT, MI
ZIP 48203
Phone: (313) 574-5430
Fax: (734) 353-4108

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  • Organization
  • Internal Medicine
  • Nephrology

About STATE FAIR DIALYSIS

This page provides the complete NPI Profile along with additional information for State Fair Dialysis, an internist established in Detroit, Michigan operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1093083446 assigned on December 2011. The practitioner's primary taxonomy code is 207RN0300X with license number 4301406139 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. State Fair Dialysis operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as State Fair Dialysis. The authorized official of this NPI record is Rachel Donaldson Kimpson M.d. (President)

NPI
1093083446
Provider Legal Name
AFTON NEPHROLOGY ASSOCIATES, P.C.
Other Organization Name
STATE FAIR DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19445 AFTON RD DETROIT, MI 48203
Location Phone
(313) 574-5430
Location Fax
(734) 353-4108
Mailing Address
19445 AFTON RD DETROIT, MI 48203
Mailing Phone
(313) 574-5430
Mailing Fax
(734) 353-4108
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2011
Last Update Date
12-13-2011
Code Navigator

An internist like State Fair Dialysis is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
4301406139
License State
MI
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL DONALDSON KIMPSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(313) 574-5430

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093083446, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 8 + 6 + 4 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1093083446.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093083446, enumerated as an "organization" on December 13, 2011.

The provider is located at 19445 AFTON RD DETROIT, MI 48203 and the phone number is (313) 574-5430.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.