KIDNEY & HYPERTENSION CENTER P.C
NPI 1093956799
Internal Medicine - Nephrology in Clinton Township, MI

Active since March 10, 2009
43171 DALCOMA DR STE 9, CLINTON TOWNSHIP, MI 48038(586) 228-6603(586) 228-6613 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kidney & Hypertension Center P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY & HYPERTENSION CENTER P.C (NPI 1093956799) is a healthcare organization registered as a nephrology in Clinton Township, Michigan and active in the NPI registry since March 2009. The organization lists Mark A. Mishack, Nephrologist, as its authorized official.

NPPES Registry Identity

NPI1093956799
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY & HYPERTENSION CENTER P.C
Location Address43171 DALCOMA DR STE 9Clinton Township, MI 48038-6307
Mailing Address43171 Dalcoma Dr Ste 9Clinton Township, MI 48038-6307 · (586) 228-6603 · Fax (586) 228-6613
Fax(586) 228-6613
Organization SubpartNo
Authorized OfficialMark A. MishackNephrologist · (586) 228-6603
Enumeration DateMarch 10, 2009
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1093956799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
43171 DALCOMA DR STE 9, Clinton Township, MI 48038

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney & Hypertension Center P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20090424000349Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney & Hypertension Center P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1831191485
15945 19 MILE RD STE 104
Clinton Township, MI 48038
(586) 228-6603
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney & Hypertension Center P.C's NPI number?

The NPI number for Kidney & Hypertension Center P.C is 1093956799. It was assigned to this organization in the NPPES registry on March 10, 2009.

Where is Kidney & Hypertension Center P.C located?

Kidney & Hypertension Center P.C is located at 43171 Dalcoma Dr Ste 9, Clinton Township, MI 48038. The listed phone number is (586) 228-6603.

What is Kidney & Hypertension Center P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kidney & Hypertension Center P.C enrolled in Medicare?

Yes. Kidney & Hypertension Center P.C is registered in the Medicare PECOS enrollment system.

When is Kidney & Hypertension Center P.C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kidney & Hypertension Center P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Kidney & Hypertension Center P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney & Hypertension Center P.C accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kidney & Hypertension Center P.C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney & Hypertension Center P.C was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.